@article {Gibsongutjnl-2020-323666, author = {Dave J Gibson and Mayenaaz Sidhu and Simon Zanati and David J Tate and Dileep Mangira and Alan Moss and Rajvinder Singh and Luke F Hourigan and Spiro Raftopoulos and Alan Pham and Phil Kostos and M Priyanthi Kumarasinghe and Andrew Ruszkiewicz and Duncan McLeod and Gregor J E Brown and Michael J Bourke}, title = {Oncological outcomes after piecemeal endoscopic mucosal resection of large non-pedunculated colorectal polyps with covert submucosal invasive cancer}, elocation-id = {gutjnl-2020-323666}, year = {2022}, doi = {10.1136/gutjnl-2020-323666}, publisher = {BMJ Publishing Group}, abstract = {Objective Management of covert submucosal invasive cancer (SMIC) discovered after piecemeal endoscopic mucosal resection (pEMR) of large (\>20 mm) non-pedunculated colorectal polyps is challenging.残留癌症风险基本未知确定并跟踪PEMR后隐蔽SMI案例外科后肿瘤结果划分基于残留院内癌症、淋巴结分解或两者并发残留院内癌症风险因素和LNM分析基础原创pEMR文理变量风险参数分析中低高风险变量残留内癌和LNM.Results109接受外科剖析109例(90例)中98例对pEMR神学有历史分析62例无余恶性三十六例恶性残留LNMn5均n=7院内残留癌症所有案例都可用R1深度定位识别差分和/或淋巴入侵案例高风险LNM(12/33),低风险不使用这些标准0/65)低风险LNM深入边缘风险大型非脉冲色谱聚变并隐性SMI跟踪pEMR将无余恶性剩余恶性风险可以从三大变量中确定 :PD、LVI和R1深度边际.Data可应合理请求获取.},snsn={0017-5749},URLss/www.marcconsult.com/content/early/2022/03/06/gutjnl-2020-3266},eprint={s://www.marcconsult.com/content/early/2022/03/06/gutjnl-2020-3266.full.pdf},日志={gut}