Papillary adenomas of the colon and rectum

Abstract

During a 12-year period, 185 patients with papillary adenomas of the colon and rectum were treated. The average age was 63 years and there was a 10 per cent female preponderance. Seventy-one per cent of the lesions occurred in the rectum and rectosigmoid, and 40 per cent of the patients had rectal bleeding. Fifty-two per cent of the lesions were malignant: however, only 9 per cent of the patients died with metastatic carcinoma. The five-year survival rate in patients with papillary adenocarcinoma was 75 per cent. The results of this review indicate that a conservative approach to the surgical management of papillary adenoma of the colon and rectum should be encouraged, unless the tumor contains or is suspected to contain invasive carcinoma.

Transanal endoscopic microsurgery: The first 50 cases

“…Despite this rate of positive microscopic margins, the incidence of local recurrence is low (5.6%) and may be due to diathermy destruction of the tumour edge. More prolonged follow up of this cohort will be necessary to confirm the low recurrence rate, which is comparable to that of conventional local excision techniques 14,15 …”