{
  "abstract": "Introduction Bowel cancer screening program is offered to people aged 50 to 74 every 2 years done with a home Faecal Immunochemical test kit. This study aimed to compare outcomes and survival rates of patients who underwent polypectomy for colorectal cancers after being referred through this pathway to cancer polyp resections in a symptomatic population.Methods Retrospective comparative case study design using clinical documents and reports. Data was collected for a period of 10 years between January 2015 and October 2024. A spreadsheet of Demographic details, histological features, post polypectomy treatment, recurrence and adverse events were compiled. Analysis was done using SPSS statistics software.Results There was a total of 52 patients from the BSCP groups who had cancer in the polyp and 40 in the symptomatic group. There was significant difference in the demographic details of the groups with median age in BSCP being 67 years (range 54-82) and 75 years in symptomatic group (range 38-93) (P=0.01). There were also significantly more males (39, 73.5%) in the BSCP group compared to (21, 52.5%) in the symptomatic group (p=0.01)Polyp cancers were predominantly located in the left colon compared to the right colon in both groups and Polyp size in BSCP, median 15mm(5-50mm) vs 20mm(8-50mm) in symptomatic was not statistically different.Margin status differed by detection pathway: (p=0.06) with National Bowel Cancer Screening Programme having resection status- R0: 17 (32%), R1: 18 (34%), Rx: 18 (34%) and Symptomatic pathway: R0: 9 (23%), R1: 22 (55%), Rx: 9 (23%).Histological characteristics showed a higher incidence of well and well to moderately differentiated tumours(62.2%) in the BSCP pathway as compared to symptomatic(42.5%)p=0.01. Lympho-vascular invasion was detected in 6(11.3%) of BCSP vs 10(25%) of symptomatic polyps p=0.04. Submucosal involvement was similar in both categories.Of the BSCP group 12 (23%) went on to have bowel resection and 7 (17.5%) of the symptomatic group went on for surgery. They were followed up for a median of 2.8 years and a Kaplan Meiers graph was plotted to look for survival rates.Conclusions The study shows that patients who are found to have colorectal cancer in polyps resected during colonoscopy who come through the BSCP referrals have favourable outcomes with resection margins and long-term survival as compared to the patient who are referred for bowel symptoms. This validates the benefits of the screening program and implies that bowel cancer is identified early and treated effectively for these patients.Abstract FP6 Figure 1",
  "authors": [
    {
      "affiliations": [
        "Midland Metropolitan University Hospital, Smethwick, Smethwick, United Kingdom"
      ],
      "name": "Meera Goutham"
    },
    {
      "affiliations": [
        "Midland Metropolitan University Hospital, Smethwick, Smethwick, United Kingdom"
      ],
      "name": "Anil George"
    },
    {
      "affiliations": [
        "Midland Metropolitan University Hospital, Smethwick, Smethwick, United Kingdom"
      ],
      "name": "Mr Rishab Balaji"
    }
  ],
  "title": "FP6 Outcomes of colorectal cancer polypectomy in bowel cancer screening program versus symptomatic presentation",
  "uid": "98f3519c-3f5d-55ca-aed8-6d8f7b1e9b00"
}