Abstract

EMR is a safe and effective alternative to surgery in management of large noninvasive colorectal lesions. Not infrequently pathologists reported incomplete resection based on the presence of tumor at the lateral margin of resected specimen. Based on our experience, we developed an “Endoscopic Mucosal Resection Margin and Depth Assessment Scale (EMR-MDA Scale)” and compared it with pathological assessment of the resected specimen's deep and lateral margins for tumor in predicting recurrence after EMR of large (>20 mm) colorectal lesions.

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