Management of the malignant colorectal polyp: ACPGBI position statement

Abstract

The management of malignant colorectal polyps remains a challenge to the colorectal multidisciplinary team because such polyps are becoming more common with the introduction of bowel cancer screening and increased use of colonoscopy in diagnosis of colorectal symptoms. Furthermore, whilst there is a large literature on this subject, assessment of the risk of residual disease following endoscopic removal can be challenging. How- ever, progress has been made, especially in the sphere of endoscopy, where, with better understanding as to how the appearance of a polyp can predict the likelihood of malignant involvement and the extent of such involve- ment, malignant polyps can be identified before histo- logical assessment of a resected lesion. [...]