Surgery after endoscopic removal of a malignant polyp: is residual disease a real issue?

This article, published in the journal Endoscopy, examines the presence of residual malignant disease in surgical specimens after the endoscopic removal of a malignant polyp without endoscopic cure. The study included 74 patients who underwent surgery after the removal of a malignant polyp. The results showed that a minority of patients had residual malignant disease in the surgical specimen, with a higher risk for those with polyps with a flat component or those that were removed using piecemeal endoscopic mucosal resection (EMR). The study highlights the importance of careful evaluation of the polyp before removal and the need for removal in one fragment, especially in cases of suspected submucosal invasion. [Extracted from the article]