Bianco F, Arezzo A, Agresta F, Coco C, Faletti R, Krivocapic Z, Rotondano G, Santoro G A, Vettoretto N, De Franciscis S, Belli A, Romano G M
Department of Surgical Oncology, Istituto Nazionale Tumori, "Fondazione G. Pascale"-IRCCS, Naples, Italy.
Department of Surgical Sciences, University of Turin, Turin, Italy.
Tech Coloproctol. 2015 Oct;19(10):577-85. doi: 10.1007/s10151-015-1361-y. Epub 2015 Sep 24.
Early colon cancer (ECC) has been defined as a carcinoma with invasion limited to the submucosa regardless of lymph node status and according to the Royal College of Pathologists as TNM stage T1 NX M0. As the potential risk of lymph node metastasis ranges from 6 to 17% and the preoperative assessment of lymph node metastasis is not reliable, the management of ECC is still controversial, varying from endoscopic to radical resection. A meeting on recent advances on the management of colorectal polyps endorsed by the Italian Society of Colorectal Surgery (SICCR) took place in April 2014, in Genoa (Italy). Based on this material the SICCR decided to issue guidelines updating the evidence and to write a position statement paper in order to define the diagnostic and therapeutic strategy for ECC treatment in context of the Italian healthcare system.
早期结肠癌（ECC）被定义为侵犯仅限于黏膜下层的癌，无论淋巴结状态如何，根据皇家病理学家学院的定义为TNM分期T1 NX M0。由于淋巴结转移的潜在风险为6%至17%，且术前对淋巴结转移的评估并不可靠，ECC的治疗仍存在争议，从内镜治疗到根治性切除各不相同。由意大利结直肠外科学会（SICCR）认可的关于结直肠息肉治疗最新进展的会议于2014年4月在意大利热那亚举行。基于这些材料，SICCR决定发布更新证据的指南，并撰写一份立场声明文件，以便在意大利医疗保健系统的背景下确定ECC治疗的诊断和治疗策略。
