Abstract
The Paris Classification system (PCS) in combination with lesion granularity (LG) is effective for stratifying risk of sub-mucosal invasion and thus informing treatment strategies for laterally spreading tumors (LST) of the colon. However, despite being the accepted standard practiced by experts in the field and universally utilized in scientific publications, it is apparently underused in general endoscopic practice and the baseline level of knowledge and learning curve for this system is currently unknown.
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