Posted by Kate Murphy on November 6th, 2008
With the addition of CT colonography (so-called virtual colonoscopy) to colorectal cancer screening guidelines, there is concern about whether or not to remove small polyps found during the CTC exam.
Large polyps are 10 millimeters or bigger, and doctors agree that people who have at least one large polyp discovered by CT colonography (CTC) should be referred for an optical colonoscopy to have them removed right away. However, it isn’t clear whether or not small polyps larger than 5 millimeters but not yet 10 millimeters need to be removed. Because most colorectal polyps develop slowly, it is enough to wait and repeat the CTC test in three years?
Using a decision model that analyzed key information about colorectal cancer risk and development, researchers found that when only small polyps are found, waiting to repeat the CTC in three years has the most benefit with the least risk and cost. Read the rest of this entry »