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비만곡 근위부 대장암에 동반된 대장 용종의 의의

Other Titles
 The Significant of Synchronous Colorectal Polyps in Colon Cancer Proximal to the Splenic Flexure 
Authors
 김진석  ;  김원호  ;  김중선  ;  조용석  ;  김남규  ;  김호근  ;  박인서 
Citation
 Korean Journal of Gastrointestinal Endoscopy (대한소화기내시경학회지), Vol.20(3) : 177-182, 2000 
Journal Title
 Korean Journal of Gastrointestinal Endoscopy (대한소화기내시경학회지) 
ISSN
 1225-7001 
Issue Date
2000
Keywords
Proximal colon cancer ; Flexible sigmoidoscopy ; Colonoscopy ; Screening test
Abstract
Background/Aims: The aim of this study was to evaluate the characteristics of colorectal polyps, especially distal colorectal polyps and their frequency in patients with colon cancer located proximal to the splenic flexure. Methods: Among 1,250 patients with colorectal cancer, 269 patients (21.5%) had colon cancer located proximal to the splenic flexure. Of these, 183 patients were involved in this study because complete colonoscopic evaluations to the cecum or to the level of proximal colon cancer were possible. Results: 54 patients (29.5%) had one or more distal colorectal polyps, 33 patients (18.1%) had one or more adenomatous distal polyps, and 3 patients (1.6%) had synchronous distal carcinoma. The percentage of patients without distal polyps was 70.5% of 183 patients with proximal colon cancer, and 80.3% of patients without distal neoplastic lesions. The percentage of patients with advanced lesions (villous component, high-grade dysplasia, or ≥1 cm in diameter) was 40.7% of 54 patients with distal colorectal polyps. Conclusions: Flexible sigmoidoscopy is insensitive and ineffective for the detection of proximal colon cancer. Ongoing evaluation of colonoscopy as a general screening test is appropriate.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
Yonsei Authors
Kim, Nam Kyu(김남규) ORCID logo https://orcid.org/0000-0003-0639-5632
Kim, Won Ho(김원호) ORCID logo https://orcid.org/0000-0002-5682-9972
Kim, Hogeun(김호근)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/172175
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