A case of advanced colonic cancer that developed from residual laterally spreading tumor treated by piecemeal endoscopic mucosal resection

被引：0
作者：
Seiji Tsunada
Kotaro Mannen
Kanako Yamaguchi
Shigehisa Aoki
Kazuyoshi Uchihashi
Shuji Toda
Takehiro Fujise
Ryo Shimoda
Hiroyuki Sakata
Ryuichi Iwakiri
Kazuma Fujimoto
机构：
[1] Saga Medical School,Department of Internal Medicine and Endoscopy
[2] Saga Medical School,Department of Pathology and Biodefense
来源：
Clinical Journal of Gastroenterology | 2008年 / 1卷 / 1期
关键词：
Follow-up; Adenoma; Laparoscopy; Endoscopy;
D O I：
10.1007/s12328-008-0003-6
中图分类号：
学科分类号：
摘要：
This case report showed a laterally spreading tumor treated by endoscopic mucosal resection that developed as an advanced colon cancer. A 74-year-old female was visited to treat a colon tumor that was pointed out at another hospital. Total colonoscopy revealed a laterally spreading tumor (LST) 25 mm in diameter in the cecum. The lesion was diagnosed as homogenous granular type LST (G-type LST) and treated by endoscopic piecemeal mucosal resection in January 2004. A tumor was recognized by follow-up endoscopic examination in April 2006. The scar of endoscopic piecemeal mucosal resection had developed to advanced colon cancer and was treated by laparoscopy-associated ileocecal resection with D3 lymph node resection. Previous reports indicated that G-type LST in the colon could be treated by piecemeal resection, but this report suggests that G-type LST resected by piecemeal endoscopic mucosal resection might develop to advanced colon cancer.
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页码：18 / 22
页数：4
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