Local recurrence after rectal endoscopic submucosal dissection: a case of tumor cell implantation

We report a case of local recurrence of cancer after rectal endoscopic submucosal dissection (ESD). A 52-year-old male underwent a curative resection with ESD for rectal intramucosal cancer. Seventy-four months after ESD, surveillance colonoscopy showed an elevated lesion on the ESD scar, suspicious...

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Detalles Bibliográficos
Autores principales: Inoue, Takashi, Fujii, Hisao, Koyama, Fumikazu, Nakagawa, Tadashi, Uchimoto, Kazuaki, Nakamura, Shinji, Ueda, Takeshi, Nishigori, Naoto, Kawasaki, Keijiro, Obara, Shinsaku, Nakamoto, Takayuki, Nakajima, Yoshiyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Japan 2013
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3915078/
https://www.ncbi.nlm.nih.gov/pubmed/24523830
http://dx.doi.org/10.1007/s12328-013-0445-3
Descripción
Sumario:We report a case of local recurrence of cancer after rectal endoscopic submucosal dissection (ESD). A 52-year-old male underwent a curative resection with ESD for rectal intramucosal cancer. Seventy-four months after ESD, surveillance colonoscopy showed an elevated lesion on the ESD scar, suspicious of a recurrence. The patient subsequently underwent a low anterior resection (intersphincteric) with lymph node dissection. Pathology revealed a well-differentiated adenocarcinoma, similar to the ESD specimen. We suspected that the local recurrence was caused by implantation of tumor cells during the ESD, due to surgical manipulation performed with the tumor in an exposed setting for a long period of time.

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