Douglas K. Rex, MD
The risk that cancer is left behind after piecemeal endoscopic mucosal resection of large nonpedunculated colorectal polyps is low and can be predicted by a few specific features, according to a recent study that may spark a paradigm shift in the management of these patients.
“Traditionally, if the patient was a good candidate for surgery, we’d send them to surgery because we felt that if cancer was present in a lesion that had been piecemealed out, it was hard to