A laterally-spreading tumor in a colonic interposition treated by endoscopic submucosal dissection

被引:18
作者
Bando, Hideaki [1 ]
Ikematsu, Hiroaki [1 ]
Fu, Kuang-I [2 ]
Oono, Yasuhiro [1 ]
Kojima, Takashi [1 ]
Minashi, Keiko [1 ]
Yano, Tomonori [1 ]
Matsuda, Takahisa [3 ]
Saito, Yutaka
Kaneko, Kazuhiro [1 ]
Ohtsu, Atsushi [1 ]
机构
[1] Natl Canc Ctr Hosp E, Dept Gastrointestinal Oncol & Endoscopy, Kashiwa, Chiba 2778577, Japan
[2] Juntendo Univ, Nerima Hosp, Dept Gastroenterol, Tokyo 1770033, Japan
[3] Natl Canc Ctr, Endoscopy Div, Tokyo 1040045, Japan
关键词
Colonic interposition; Early colonic carcinoma; Endoscopic submucosal dissection; PROSPECTIVE MULTICENTER; COLORECTAL TUMORS; ADENOCARCINOMA; RESECTION; SEGMENT; POLYPS; CANCER; GRAFT; VIDEO;
D O I
10.3748/wjg.v16.i3.392
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Herein we describe an early colonic carcinoma which developed in a colonic interposition 14 years after surgery for esophageal cancer, which was successfully treated by endoscopic submucosal dissection (ESD). An 80-year-old man underwent colonic interposition between the upper esophagus and stomach after surgery for an early esophageal squamous cell carcinoma in 1994. He received a surveillance endoscopy, and a laterally-spreading tumor of granular type, approximately 20 mm in size, was identified in the colonic interposition. An endoscopic biopsy revealed moderately differentiated adenocarcinoma histologically, however, we diagnosed the lesion as an intramucosal carcinoma based on the endoscopic findings. The lesion was safely and completely removed en bloc by ESD using a bipolar knife. Histologically, the lesion was an intramucosal moderately differentiated adenocarcinoma in a tubular adenoma. (C) 2010 Baishideng. All rights reserved.
引用
收藏
页码:392 / 394
页数:3
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