Debate: small (6-9 mm) and diminutive (1-5 mm) polyps noted on CTC: how should they be managed?
New diagnostic technologies can visualize colon polyps, but not remove them. There is clear consensus that polyps 10 mm or larger need to be removed. There is still controversy surrounding the appropriate reporting and management of small 1 to 5 mm and 6 to 9 mm polyps. The author recommends that patients whose largest polyp is 6 mm or larger should be offered colonoscopy. If the largest polyp is less than 6 mm in size, and imaged with high reliability, the author recommends reporting the finding, and individualizing the decision to pursue colonoscopy versus repeat imaging.
Lieberman
David
D
Division of Gastroenterology and Hepatology, Oregon Health and Science University, 3181 South West Sam Jackson Park Road, Portland, OR 97239, USA. lieberma@ohsu.edu
D000236:Adenoma / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology; D003111:Colonic Polyps / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D023881:Colonography, Computed Tomographic / Q000379:methods*; D003113:Colonoscopy / Q000379:methods*; D015179:Colorectal Neoplasms / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology; D003657:Decision Making; D006801:Humans; D008403:Mass Screening / Q000379:methods; D011230:Precancerous Conditions; D015995:Prevalence; D012720:Severity of Illness Index; D014481:United States / Q000453:epidemiology