Estudio de la frecuencia, distribución y rendimiento diagnóstico en las lesiones neoplásicas sincrónicas del carcinoma colo-rectal
ABSTRACT To analyse the frequency, characteristics and diagnosis of synchronic neoplastic lesions in colorectal cancer. A review was carried out of 384 colorectal cancers, diagnosed through complete colonoscopy and resected. The synchronic cancers and the characteristics of the adenomas were determi...
| Autores: | , , , , , |
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| Tipo de recurso: | artículo |
| Fecha de publicación: | 2008 |
| País: | España |
| Institución: | Universidad de Navarra |
| Repositorio: | Dadun. Depósito Académico Digital de la Universidad de Navarra |
| Idioma: | español |
| OAI Identifier: | oai:dadun.unav.edu:10171/22579 |
| Acceso en línea: | https://hdl.handle.net/10171/22579 |
| Access Level: | acceso abierto |
| Palabra clave: | Colorectal cancer Synchronic lesions Adenomas Anatomía patológica |
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Estudio de la frecuencia, distribución y rendimiento diagnóstico en las lesiones neoplásicas sincrónicas del carcinoma colo-rectalStudy of frequency, distribution and diagnostic performance in synchronic neoplastic lesions of colorectal carcinomaBorda-Martin, A. (Ana)|||/items/646a68f2-90f2-4d1e-8538-07815f26eac2Martinez-Peñuela, J.M. (J.M.)|||/items/92cff34e-5fcc-4acc-a480-045258606ba5Prieto-Martínez, C. (Carlos)|||/items/756bf37c-71ea-42b6-826d-f8f644906d56Muñoz-Navas, M. (Miguel)|||/items/8c9e2db8-7dea-4686-9c8a-3bd4eeff584bCarretero-Ribón, C. (Cristina)|||/items/37f2d58e-655b-4c90-9b71-3df3c5034300Borda-Celaya, F. (F.)|||/items/0f599ed5-d64f-4d8b-b72a-e7fe40158ec2Colorectal cancerSynchronic lesionsAdenomasAnatomía patológicaABSTRACT To analyse the frequency, characteristics and diagnosis of synchronic neoplastic lesions in colorectal cancer. A review was carried out of 384 colorectal cancers, diagnosed through complete colonoscopy and resected. The synchronic cancers and the characteristics of the adenomas were determined: number, size, histological type, dysplasia, as well as their localisation in the colon and with respect to the carcinoma. Twenty-eight synchronic cancers were found (7.3% of the total); 8 developed tumours and 20 malignant polyps. In 54.4% of the cases there was a synchronic adenoma. In patients with synchronic lesions, 43% showed an advanced adenoma. Twenty percent of the synchronic polyps found were proximal to the splenic flexure; 41% were distal and 38% had both localisations. Fifty-nine point one percent of the patients had some adenoma proximal to the cancer, with criteria of advanced adenoma in 13.9%. The distribution of the adenomas was more uniformly spread in the cancers with a proximal localisation (p = 0.038). Seventeen percent of the distal cancers presented synchronic lesions with a proximal colon localisation exclusively. Partial endoscopies would diagnose the distal cancers, but would omit a synchronic adenoma in 42.3% of the sigmoidoscopies and 40% of the short colonoscopies. High rates of carcinoma and synchronic adenomas were registered. We underline the high index of advanced adenomas and the frequency of synchronic lesions proximal to the cancer, which is why incomplete colonoscopies, although allowing the diagnosis of the distal cancer, omit a high percentage of synchronic adenomas, including advanced lesions. All of this confirms the need to perform a complete pre- , intra- and post operational colonoscopy in resectable colorectal cancer.Gobierno de Navarra. Departamento de SaludDadun. Depósito Académico Digital Universidad de Navarra20122012-06-1620082008-01-0120082008-01-01journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/10171/22579reponame:Dadun. Depósito Académico Digital de la Universidad de Navarrainstname:Universidad de NavarraEspañolspaopen accesshttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessoai:dadun.unav.edu:10171/225792026-06-21T12:47:57Z |
| dc.title.none.fl_str_mv |
Estudio de la frecuencia, distribución y rendimiento diagnóstico en las lesiones neoplásicas sincrónicas del carcinoma colo-rectal Study of frequency, distribution and diagnostic performance in synchronic neoplastic lesions of colorectal carcinoma |
| title |
Estudio de la frecuencia, distribución y rendimiento diagnóstico en las lesiones neoplásicas sincrónicas del carcinoma colo-rectal |
| spellingShingle |
Estudio de la frecuencia, distribución y rendimiento diagnóstico en las lesiones neoplásicas sincrónicas del carcinoma colo-rectal Borda-Martin, A. (Ana)|||/items/646a68f2-90f2-4d1e-8538-07815f26eac2 Colorectal cancer Synchronic lesions Adenomas Anatomía patológica |
| title_short |
Estudio de la frecuencia, distribución y rendimiento diagnóstico en las lesiones neoplásicas sincrónicas del carcinoma colo-rectal |
| title_full |
Estudio de la frecuencia, distribución y rendimiento diagnóstico en las lesiones neoplásicas sincrónicas del carcinoma colo-rectal |
| title_fullStr |
Estudio de la frecuencia, distribución y rendimiento diagnóstico en las lesiones neoplásicas sincrónicas del carcinoma colo-rectal |
| title_full_unstemmed |
Estudio de la frecuencia, distribución y rendimiento diagnóstico en las lesiones neoplásicas sincrónicas del carcinoma colo-rectal |
| title_sort |
Estudio de la frecuencia, distribución y rendimiento diagnóstico en las lesiones neoplásicas sincrónicas del carcinoma colo-rectal |
| dc.creator.none.fl_str_mv |
Borda-Martin, A. (Ana)|||/items/646a68f2-90f2-4d1e-8538-07815f26eac2 Martinez-Peñuela, J.M. (J.M.)|||/items/92cff34e-5fcc-4acc-a480-045258606ba5 Prieto-Martínez, C. (Carlos)|||/items/756bf37c-71ea-42b6-826d-f8f644906d56 Muñoz-Navas, M. (Miguel)|||/items/8c9e2db8-7dea-4686-9c8a-3bd4eeff584b Carretero-Ribón, C. (Cristina)|||/items/37f2d58e-655b-4c90-9b71-3df3c5034300 Borda-Celaya, F. (F.)|||/items/0f599ed5-d64f-4d8b-b72a-e7fe40158ec2 |
| author |
Borda-Martin, A. (Ana)|||/items/646a68f2-90f2-4d1e-8538-07815f26eac2 |
| author_facet |
Borda-Martin, A. (Ana)|||/items/646a68f2-90f2-4d1e-8538-07815f26eac2 Martinez-Peñuela, J.M. (J.M.)|||/items/92cff34e-5fcc-4acc-a480-045258606ba5 Prieto-Martínez, C. (Carlos)|||/items/756bf37c-71ea-42b6-826d-f8f644906d56 Muñoz-Navas, M. (Miguel)|||/items/8c9e2db8-7dea-4686-9c8a-3bd4eeff584b Carretero-Ribón, C. (Cristina)|||/items/37f2d58e-655b-4c90-9b71-3df3c5034300 Borda-Celaya, F. (F.)|||/items/0f599ed5-d64f-4d8b-b72a-e7fe40158ec2 |
| author_role |
author |
| author2 |
Martinez-Peñuela, J.M. (J.M.)|||/items/92cff34e-5fcc-4acc-a480-045258606ba5 Prieto-Martínez, C. (Carlos)|||/items/756bf37c-71ea-42b6-826d-f8f644906d56 Muñoz-Navas, M. (Miguel)|||/items/8c9e2db8-7dea-4686-9c8a-3bd4eeff584b Carretero-Ribón, C. (Cristina)|||/items/37f2d58e-655b-4c90-9b71-3df3c5034300 Borda-Celaya, F. (F.)|||/items/0f599ed5-d64f-4d8b-b72a-e7fe40158ec2 |
| author2_role |
author author author author author |
| dc.contributor.none.fl_str_mv |
Dadun. Depósito Académico Digital Universidad de Navarra |
| dc.subject.none.fl_str_mv |
Colorectal cancer Synchronic lesions Adenomas Anatomía patológica |
| topic |
Colorectal cancer Synchronic lesions Adenomas Anatomía patológica |
| description |
ABSTRACT To analyse the frequency, characteristics and diagnosis of synchronic neoplastic lesions in colorectal cancer. A review was carried out of 384 colorectal cancers, diagnosed through complete colonoscopy and resected. The synchronic cancers and the characteristics of the adenomas were determined: number, size, histological type, dysplasia, as well as their localisation in the colon and with respect to the carcinoma. Twenty-eight synchronic cancers were found (7.3% of the total); 8 developed tumours and 20 malignant polyps. In 54.4% of the cases there was a synchronic adenoma. In patients with synchronic lesions, 43% showed an advanced adenoma. Twenty percent of the synchronic polyps found were proximal to the splenic flexure; 41% were distal and 38% had both localisations. Fifty-nine point one percent of the patients had some adenoma proximal to the cancer, with criteria of advanced adenoma in 13.9%. The distribution of the adenomas was more uniformly spread in the cancers with a proximal localisation (p = 0.038). Seventeen percent of the distal cancers presented synchronic lesions with a proximal colon localisation exclusively. Partial endoscopies would diagnose the distal cancers, but would omit a synchronic adenoma in 42.3% of the sigmoidoscopies and 40% of the short colonoscopies. High rates of carcinoma and synchronic adenomas were registered. We underline the high index of advanced adenomas and the frequency of synchronic lesions proximal to the cancer, which is why incomplete colonoscopies, although allowing the diagnosis of the distal cancer, omit a high percentage of synchronic adenomas, including advanced lesions. All of this confirms the need to perform a complete pre- , intra- and post operational colonoscopy in resectable colorectal cancer. |
| publishDate |
2008 |
| dc.date.none.fl_str_mv |
2008 2008-01-01 2008 2008-01-01 2012 2012-06-16 |
| dc.type.none.fl_str_mv |
journal article http://purl.org/coar/resource_type/c_6501 |
| dc.type.openaire.fl_str_mv |
info:eu-repo/semantics/article |
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article |
| dc.identifier.none.fl_str_mv |
https://hdl.handle.net/10171/22579 |
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https://hdl.handle.net/10171/22579 |
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Español spa |
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Español |
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spa |
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open access http://purl.org/coar/access_right/c_abf2 |
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info:eu-repo/semantics/openAccess |
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open access http://purl.org/coar/access_right/c_abf2 |
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openAccess |
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application/pdf |
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Gobierno de Navarra. Departamento de Salud |
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Gobierno de Navarra. Departamento de Salud |
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reponame:Dadun. Depósito Académico Digital de la Universidad de Navarra instname:Universidad de Navarra |
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Universidad de Navarra |
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Dadun. Depósito Académico Digital de la Universidad de Navarra |
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Dadun. Depósito Académico Digital de la Universidad de Navarra |
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15.301603 |