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Risk Factors for Residual Neoplasia After Endoscopic Mucosal Resection

Completed
Conditions
Colorectal Cancer
Registration Number
NCT01478919
Lead Sponsor
Vitkovice Hospital
Brief Summary

Laterally Spreading Tumors (LST) are important precursosrs of invasive colorectal cancer. Endoscopic treatment has replaced surgery in most of the cases. Nevertheless, after conventional Endoscopic Mucosal Resection (CER), Local Residual Neoplasia (LRN) is an issue. Therefore, endoscopic follow-up and treatment are necessary. To decrease its occurrence, the risk factors of LRN shoudl be identified. Thereafter, in high-risk patients, other modalities of initial treatment including Endoscopic Submucosal Dissection (ESD) and surgical treatment, could be considered. The purpose of this prospective study is to identify risk factors associated with the presence of LRN after CER of LSTs.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
127
Inclusion Criteria
  • all consecutive patients referred for EMR of LST
Exclusion Criteria
  • polyposis syndromes
  • previous therapeutic attempt

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Occurence of Local Residual Neoplasia (LRN)3 months

LRN was defined as a histologically confirmed neoplastic tissue in the biopsy samples obtained from post-resection scar during follow-up colonoscopy 3 months after endoscopic resection

Secondary Outcome Measures
NameTimeMethod
Evaluation of Selected Risk Factors for Local Residual Neoplasia (LRN)3 months

Evaluation of selected patient- and lesion-related risk factors associated with LRN (gender, age, lesion size, location, morphology, pit pattern, histology, type of resection, and others)

Trial Locations

Locations (1)

Vitkovice Hospital

🇨🇿

Ostrava, Czech Republic

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