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  2. 醫學院
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Please use this identifier to cite or link to this item: https://scholars.lib.ntu.edu.tw/handle/123456789/592399
Title: Current management of diminutive colorectal polyps in Taiwan
Authors: Chiu, Han-Mo
LI-CHUN CHANG 
Shun, Chia-Tung
Wu, Ming-Shiang
Wang, Hsiu-Po
Keywords: advanced neoplasm; colon polyp; colonoscopy; colorectal cancer; image-enhanced endoscopy;advanced neoplasm; colon polyp; colonoscopy; colorectal cancer; image-enhanced endoscopy
Issue Date: Apr-2014
Publisher: WILEY
Journal Volume: 26 Suppl 2
Start page/Pages: 64
Source: Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society
Abstract: 
The majority of polyps detected during colonoscopy are diminutive polyps, for which the cost of pathological analysis is substantial. In our analysis of a screening cohort of 10737 subjects undergoing screening colonoscopy, a total of 15877 neoplastic lesions were detected, of which 10816 (68.1%) were diminutive lesions. Of those diminutive lesions, 90 (0.83%) had a villous component, 14 (0.1%) had high-grade dysplasia, and none had invasive cancer. Only 1.3% of patients were advised to decrease their surveillance interval because of unfavorable histology. Laws regulating medical practice, uncertainty regarding the accuracy of endoscopic diagnosis of diminutive polyps outside of academic centers, and the relatively low cost of pathological analysis are among the barriers to adopting a 'resect and discard' practice in Taiwan.
URI: https://scholars.lib.ntu.edu.tw/handle/123456789/592399
ISSN: 09155635
DOI: 10.1111/den.12260
metadata.dc.subject.other: adenoma; adult; age distribution; aged; cancer staging; Colonic Polyps; colonoscopy; Colorectal Neoplasms; early diagnosis; female; human; immunohistochemistry; male; middle aged; needle biopsy; pathology; prevalence; procedures; retrospective study; sex ratio; Taiwan; tumor invasion; Adenoma; Adult; Age Distribution; Aged; Biopsy, Needle; Colonic Polyps; Colonoscopy; Colorectal Neoplasms; Early Detection of Cancer; Female; Humans; Immunohistochemistry; Male; Middle Aged; Neoplasm Invasiveness; Neoplasm Staging; Prevalence; Retrospective Studies; Sex Distribution; Taiwan
[SDGs]SDG3
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臺大位居世界頂尖大學之列,為永久珍藏及向國際展現本校豐碩的研究成果及學術能量,圖書館整合機構典藏(NTUR)與學術庫(AH)不同功能平台,成為臺大學術典藏NTU scholars。期能整合研究能量、促進交流合作、保存學術產出、推廣研究成果。

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