Giris ve Amaç: Kolorektal poliplerde gelisen erken invaziv kolorektal kanserlerin tedavisi tartismalidir. Bu çalismanin amaci, klinigimizde saptanan ve tedavi edilen erken kolorektal kanserli olgularin tedavi stratejilerini ve uzun süreli sonuçlarini degerlendirmektir. Gereç ve Yöntem: Bir yil içinde Mart 1996-1997 tarihleri arasinda hastanemizde rektosigmoidoskopi ve kolonoskopi ile saptanan polipler retrospektif olarak degerlendirilmistir. Bulgular: Hastalarin yaslari 40-68 (ortalama 35.5 yil) arasinda degismekteydi. Malign polip saptanan 8 olgunun 5’inde erken invaziv kolorektal kanser saptandi. Cerrahi sinirda kanser saptanan bir olguda total kolektomi gerekliydi. Bes yillik izlemde rekürrens gözlenmedi. Sonuç: Erken invaziv kolorektal kanser saptanan hastalarin tedavisinde cerrahi sinirlar temizse polipektomi yeterli gibi görünmektedi
Background and aims: Treatment for invasive adenocarcinoma in colorectal polyps (malignant polyps) is controversial. The aim of this study was to evaluate our institutional treatment strategy for malignant polyps. Materials and methods: We reviewed the specimen slides and clinical records of eight patients who had malignant colorectal polyps removed by endoscopic polypectomy between 1996-1997. Results: The patient’s ages ranged from 40 to 68 years (mean 53.5 yrs). Five of eight patients with malign polyps had early invasive colorectal carcinoma. Only one colectomy was needed because of surgical margin involvement. During the five year follow-up, no recurrence was recorded. Conclusion: Treatment of early invasive colorectal cancer with polypectomy seems to be adequate when resection margins are normal.