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

被引:0
作者
Tsunada, Seiji [1 ]
Mannen, Kotaro [1 ]
Yamaguchi, Kanako [1 ]
Aoki, Shigehisa [2 ]
Uchihashi, Kazuyoshi [2 ]
Toda, Shuji [2 ]
Fujise, Takehiro [1 ]
Shimoda, Ryo [1 ]
Sakata, Hiroyuki [1 ]
Iwakiri, Ryuichi [1 ]
Fujimoto, Kazuma [1 ]
机构
[1] Saga Med Sch, Dept Internal Med & Endoscopy, 5-1-1 Nabeshima, Saga 8498501, Japan
[2] Saga Med Sch, Dept Pathol & Biodefense, Saga, Japan
关键词
Follow-up; Adenoma; Laparoscopy; Endoscopy;
D O I
10.1007/s12328-008-0003-6
中图分类号
R57 [消化系及腹部疾病];
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.
引用
收藏
页码:18 / 22
页数:5
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