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Practice parameters for early colon cancer management: Italian Society of Colorectal Surgery (Società Italiana di Chirurgia Colo-Rettale; SICCR) guidelines

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Abstract

Early colon cancer (ECC) has been defined as a carcinoma with invasion limited to the submucosa regardless of lymph node status and according to the Royal College of Pathologists as TNM stage T1 NX M0. As the potential risk of lymph node metastasis ranges from 6 to 17 % and the preoperative assessment of lymph node metastasis is not reliable, the management of ECC is still controversial, varying from endoscopic to radical resection. A meeting on recent advances on the management of colorectal polyps endorsed by the Italian Society of Colorectal Surgery (SICCR) took place in April 2014, in Genoa (Italy). Based on this material the SICCR decided to issue guidelines updating the evidence and to write a position statement paper in order to define the diagnostic and therapeutic strategy for ECC treatment in context of the Italian healthcare system.

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Authors and Affiliations

  1. Department of Surgical Oncology, Istituto Nazionale Tumori, “Fondazione G. Pascale”-IRCCS, Naples, Italy

    F. Bianco, S. De Franciscis, A. Belli & G. M. Romano

  2. Department of Surgical Sciences, University of Turin, Turin, Italy

    A. Arezzo

  3. Department of General Surgery, Ulss1 9 of the Veneto, Civic Hospital, Adria (TV), Italy

    F. Agresta

  4. Department of Surgical Sciences, Catholic University of the Sacred Heart, Rome, Italy

    C. Coco

  5. Department of Surgical Sciences, Radiology Institute University Hospital City of Health and Science, Turin University, Turin, Italy

    R. Faletti

  6. Clinical Center of Serbia, Institute for Digestive Disease, University of Belgrade, Belgrade, Serbia and Montenegro

    Z. Krivocapic

  7. Department of Gastroenterology, Maresca Hospital, Torre del Greco (NA), Italy

    G. Rotondano

  8. Department of Colorectal Surgery, Digestive Disease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, UAE

    G. A. Santoro

  9. Department of General Surgery, Montichiari Hospital, Civic Hospitals of Brescia, Brescia, Italy

    N. Vettoretto

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  1. F. Bianco
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  10. S. De Franciscis
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  11. A. Belli
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  12. G. M. Romano
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Correspondence to G. M. Romano.

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Bianco, F., Arezzo, A., Agresta, F. et al. Practice parameters for early colon cancer management: Italian Society of Colorectal Surgery (Società Italiana di Chirurgia Colo-Rettale; SICCR) guidelines. Tech Coloproctol 19, 577–585 (2015). https://doi.org/10.1007/s10151-015-1361-y

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