TABLE 5

Indications for endoscopic submucosal dissection for colorectal cancer

Lesions for which en bloc resection with endoscopic mucosal resection is unlikely to succeed
Laterally spreading tumor, nongranular type
Lesions with a Vi-type pit pattern
Carcinoma with shallow T1 invasion
Large depressed-type tumors
Large protruding-type tumors suspected to be malignant
Mucosal tumors with submucosal fibrosis
Sporadic localized tumors in conditions of chronic inflammation
Local residual or recurrent early carcinomas after endoscopic resection
  • Based on information from the Japan Gastroenterological Endoscopy Society, reference 32.