辩论：CT结肠成像（CTC）检查发现的小（6 - 9毫米）及微小（1 - 5毫米）息肉：应如何处理？
Debate: small (6-9 mm) and diminutive (1-5 mm) polyps noted on CTC: how should they be managed?
作者信息
Lieberman David
机构信息
Division of Gastroenterology and Hepatology, Oregon Health and Science University, 3181 South West Sam Jackson Park Road, Portland, OR 97239, USA.
出版信息
Gastrointest Endosc Clin N Am. 2010 Apr;20(2):239-43. doi: 10.1016/j.giec.2010.02.012.
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.
新的诊断技术能够可视化结肠息肉，但无法将其切除。对于10毫米及以上的息肉需要切除，这一点已达成明确共识。对于1至5毫米以及6至9毫米的小息肉，在合适的报告和管理方面仍存在争议。作者建议，最大息肉为6毫米及以上的患者应接受结肠镜检查。如果最大息肉小于6毫米，且成像具有高可靠性，作者建议报告该检查结果，并根据个体情况决定是进行结肠镜检查还是重复成像。
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