The Natural History of Colorectal Polyps

For decades, colorectal screening strategies have been largely driven by static features, particularly polyp size. Although cross-sectional features of polyp size, morphology, and location are important determinants of clinical relevance before histology, they lack any dynamic information on polyp growth rates. Computed tomography colonography allows for in  vivo surveillance of colorectal polyps, providing volumetric growth rates that are providing new insights into tumorigenesis. In this article, existing cross-sectional and longitudinal data on colorectal polyps are reviewed, with an emphasis on how these features may affect clinical relevance and patient management.

Source: Gastroenterology Clinics of North America - July 2, 2018 Category: Gastroenterology Authors: Perry J. Pickhardt, Bryan Dustin Pooler, David H. Kim, Cesare Hassan, Kristina A. Matkowskyj, Richard B. Halberg Source Type: research