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Open AccessJournal ArticleDOI

Serrated Lesions of the Colorectum: Review and Recommendations From an Expert Panel

TLDR
It is recommended that all serrated lesions proximal to the sigmoid colon and allserrated lesions in the rectosigmoid >5 mm in size, be completely removed.
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This article is published in The American Journal of Gastroenterology.The article was published on 2012-09-01 and is currently open access. It has received 951 citations till now. The article focuses on the topics: Sessile serrated adenoma & Hyperplastic Polyp.

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Multitarget Stool DNA Testing for Colorectal-Cancer Screening

TL;DR: In asymptomatic persons at average risk for colorectal cancer, multitarget stool DNA testing detected significantly more cancers than did FIT but had more false positive results.
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Long-Term Colorectal-Cancer Incidence and Mortality after Lower Endoscopy

TL;DR: Colorectal cancer diagnosed within 5 years after colonoscopy was more likely than cancer diagnosed after that period or without prior endoscopy to have CIMP and microsatellite instability and colonoscopic was also associated with a modest reduction in the incidence of proximal colon cancer.
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ACG clinical guideline: Genetic testing and management of hereditary gastrointestinal cancer syndromes.

TL;DR: Patients who meet clinical criteria for a syndrome as well as those with identified pathogenic germline mutations should receive appropriate surveillance measures in order to minimize their overall risk of developing syndrome-specific cancers.
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Consensus molecular subtypes and the evolution of precision medicine in colorectal cancer

TL;DR: Better characterization of the transcriptomic subtypes of colorectal cancer, encompassing tumour, stromal and immune components, has revealed convergent pathway dependencies that mandate a 'multi-molecular' perspective for the development of therapies to treat this disease.
References
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Journal ArticleDOI

CpG island methylator phenotype in colorectal cancer.

TL;DR: A pathway in colorectal cancer appears to be responsible for the majority of sporadic tumors with mismatch repair deficiency, and is defined as CpG island methylator phenotype (CIMP); CIMP+ tumors also have a high incidence of p16 and THBS1 methylation, and they include the majority with microsatellite instability related to hMLH 1 methylation.
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Quality Indicators for Colonoscopy and the Risk of Interval Cancer

TL;DR: The adenoma detection rate is an independent predictor of the risk of interval colorectal cancer after screening colonoscopy, and the rate of cecal intubation was not significantly associated with this risk.
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Polyp miss rate determined by tandem colonoscopy: a systematic review.

TL;DR: Colonoscopy rarely misses polyps ≥10 mm, but the miss rate increases significantly in smaller sized polyps.
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Grading Strength of Recommendations and Quality of Evidence in Clinical Guidelines: Report From an American College of Chest Physicians Task Force

TL;DR: An American College of Chest Physicians task force formulated the criteria for a grading system to be utilized in all ACCP guidelines that included simplicity and transparency, explicitness of methodology, and consistency with current methodological approaches to the grading process.
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