[Therapeutic strategy in malignant polyps of the gastrointestinal tract].
Malignant polyps in the stomach are identical with early gastric carcinoma type I and IIa. Even if carcinomatous growth is restricted to the mucosa lymph node, metastases may occur; therefore, local measures like polypectomy or surgical excision are exceptional. Malignant gastric polyps should be treated according to classical tumour surgery. Things are different in malignant colonic polyps, i.e. adenomas with a carcinoma invading the submucosa. Unless one is dealing with a dedifferentiated carcinoma or invasion of lymph or blood vessels is seen a few millimetre of security are sufficient to save the patient from radical surgery.
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Medizinische Klinik, Krankenhaus Nordwest, Frankfurt.
D000465:Algorithms; D003111:Colonic Polyps / Q000601:surgery*; D006801:Humans; D007417:Intestinal Polyps / Q000601:surgery*; D012307:Risk Factors; D013274:Stomach Neoplasms / Q000601:surgery*
Therapiestrategien bei malignen Polypen des Gastrointestinaltrakts.