Do guidelines exist for the appropriate management of CTC findings?
- If a mass is detected, surgical consultation is recommended.
- For a polyp 10 mm or greater in size, or if there are three or more polyps 6 mm or larger, endoscopic resection is recommended.
- If less than three polyps measuring 6-9 mm are detected, recommendations are less clear with some advocating shorter interval follow-up CTC, possibly in 3 years, while others suggest optical colonoscopy should be performed.
For polyps 5 mm or less in size, continued routine screening with CTC is recommended in 5 years.