[The role of colonoscopy in screening for tumors of the large intestine].
In 1986-1988, 6434 patients underwent colonoscopy in general hospital: 2076 were at risk for large bowel cancer whereas in 4358 the procedure was used for prophylaxis. Benign polyps or polyposis were detected in a total of 1699 (26.4%) patients: 856 (41.2%) in the risk group and 843 (19.3%) in the prophylactic one. Malignancy was diagnosed in 248 (11.9%) and 41 (0.9%) patients, respectively. It was found that small and early tumors made up 22% of the total number of cancers in the prophylactic group and 16.9% in the high risk group only. Colonoscopic screening carried out under general hospital condition is psychologically and economically justified since it allows to form a risk group and diagnose early cancer whereas timely removal of polyps assures secondary prophylaxis of large bowel cancer.
Romanov
V A
VA
Iashin
D I
DI
Chumak
V N
VN
Iakovlev
A A
AA
Popov
P P
PP
D000328:Adult; D020685:Colonoscopes; D003113:Colonoscopy; D006801:Humans; D007414:Intestinal Neoplasms / Q000453:epidemiology / Q000517:prevention & control*; D007420:Intestine, Large; D008403:Mass Screening / Q000379:methods*; D012307:Risk Factors; D014586:USSR / Q000453:epidemiology
Rol' kolonoskopii v skrininge opukholeĭ tolstoĭ kishki.