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Résumé Les cancers superficiels colorectaux sur polypes réséqués endoscopiquement sont soit des cancers intramuqueux (V4), soit des cancers sous-muqueux (V5). Une discussion de chirurgie ne devrait avoir lieu que dans la seconde situation, car le cancer intramuqueux strict ne présente pas de risque de dissémination. Quatre critères précis permettent aujourd’hui de prendre une décision de chirurgie...
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