Endoscopic submucosal dissection (ESD) for anal high-grade intraepithelial neoplasia: a case report

被引:2
作者
Wagner, Andrej [1 ]
Neureiter, Daniel [2 ]
Holzinger, Josef [3 ]
Kiesslich, Tobias [4 ]
Klieser, Eckhard [2 ]
Berr, Frieder [1 ]
机构
[1] Paracelsus Med Univ, Dept Internal Med 1, Salzburger Landeskliniken SALK, Muellner Hauptstr 48, A-5020 Salzburg, Austria
[2] Paracelsus Med Univ, Inst Pathol, Salzburger Landeskliniken SALK, Salzburg, Austria
[3] Paracelsus Med Univ, Dept Surg, Salzburger Landeskliniken SALK, Salzburg, Austria
[4] Paracelsus Med Univ, Inst Physiol & Pathophysiol, Lab Tumour Biol & Expt Therapies TREAT, Salzburg, Austria
来源
ZEITSCHRIFT FUR GASTROENTEROLOGIE | 2018年 / 56卷 / 05期
关键词
endoscopic submucosal dissection; anal intraepithelial neoplasia; resection; SQUAMOUS-CELL CARCINOMA; HIGH-RESOLUTION ANOSCOPY; PERIANAL BOWENS-DISEASE; HIV-POSITIVE MEN; HUMAN-PAPILLOMAVIRUS; LESIONS; SEX; CANCER; ELECTROCAUTERY; GUIDELINES;
D O I
10.1055/a-0578-9059
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Anal intraepithelial neoplasia (AIN) is a precursor of anal carcinoma. Conventional therapy is based on topical and local ablative approaches. However, the recurrence rates are very high, leading to repetitive treatment sessions and need for long-term surveillance. Endoscopic submucosal dissection (ESD) is an established treatment for malignant early neoplasias of the gastrointestinal tract, especially in the esophagus, stomach, and colorectum. Japanese centers have reported few cases of ESD for early anal carcinoma. We report a case of high-grade AIN diagnosed with magnifying narrow-band imaging and chromoendoscopy that was resected R0 with ESD en bloc.
引用
收藏
页码:495 / 498
页数:4
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