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Local recurrence of T1a rectal cancer following radical endoscopic mucosal resection: A case report
We herein report a case of local recurrence of T1a rectal cancer following radical endoscopic mucosal resection (EMR). A 63-year-old man underwent EMR for a 0-IIa lesion of the Ra portion of the rectum. The findings on pathological examination were tub1, T1a (SM1, 420 µm), ly0 and v0, and the EMR ha...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
D.A. Spandidos
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6109672/ https://www.ncbi.nlm.nih.gov/pubmed/30155253 http://dx.doi.org/10.3892/mco.2018.1667 |
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author | Matsumoto, Keita Matsuhashi, Nobuhisa Takahashi, Takao Tanahashi, Toshiyuki Matsui, Satoshi Suetsugu, Tomonari Tajima, Jesse Yu Imai, Takeharu Imai, Hisashi Tanaka, Yoshihiro Yamaguchi, Kazuya Suzui, Natsuko Miyazaki, Tatsuhiko Yoshida, Kazuhiro |
author_facet | Matsumoto, Keita Matsuhashi, Nobuhisa Takahashi, Takao Tanahashi, Toshiyuki Matsui, Satoshi Suetsugu, Tomonari Tajima, Jesse Yu Imai, Takeharu Imai, Hisashi Tanaka, Yoshihiro Yamaguchi, Kazuya Suzui, Natsuko Miyazaki, Tatsuhiko Yoshida, Kazuhiro |
author_sort | Matsumoto, Keita |
collection | PubMed |
description | We herein report a case of local recurrence of T1a rectal cancer following radical endoscopic mucosal resection (EMR). A 63-year-old man underwent EMR for a 0-IIa lesion of the Ra portion of the rectum. The findings on pathological examination were tub1, T1a (SM1, 420 µm), ly0 and v0, and the EMR had been considered a transitional procedure. Colonoscopy performed 26 months after EMR revealed a submucosal tumor (SMT) near the EMR scar in the left wall of the Ra portion of the rectum. An abdominal enhanced computed tomography scan revealed infiltration of the thickness of the wall with limited extramural extension, and a lymph node 10 mm in diameter. Endoscopic ultrasound-guided fine-needle aspiration also indicated a SMT on the left side of the Ra portion of the rectum that extended from the submucosal layer to beyond the serosal layer, and a lymph node sized 17×11 mm to the left of the Ra portion near the oral side 2 cm from the SMT. The pathological findings confirmed the SMT to be an adenocarcinoma with a metastatic lymph node. Local and lymph node recurrence of rectal cancer following radical EMR was diagnosed, and laparoscopic ultra-low anterior resection, D3 lymph node dissection and a diverting ileostomy were performed. The pathological findings of the excised specimen were T3 (A/SS), ly0, v3, PN1b, pPM0, pDM0, pRM0 (100 µm) and pN0 (0/15). XELOX therapy was administered for 6 months postoperatively as adjuvant chemotherapy, and there has been no recurrence during the first 12 months of follow-up. |
format | Online Article Text |
id | pubmed-6109672 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | D.A. Spandidos |
record_format | MEDLINE/PubMed |
spelling | pubmed-61096722018-08-28 Local recurrence of T1a rectal cancer following radical endoscopic mucosal resection: A case report Matsumoto, Keita Matsuhashi, Nobuhisa Takahashi, Takao Tanahashi, Toshiyuki Matsui, Satoshi Suetsugu, Tomonari Tajima, Jesse Yu Imai, Takeharu Imai, Hisashi Tanaka, Yoshihiro Yamaguchi, Kazuya Suzui, Natsuko Miyazaki, Tatsuhiko Yoshida, Kazuhiro Mol Clin Oncol Articles We herein report a case of local recurrence of T1a rectal cancer following radical endoscopic mucosal resection (EMR). A 63-year-old man underwent EMR for a 0-IIa lesion of the Ra portion of the rectum. The findings on pathological examination were tub1, T1a (SM1, 420 µm), ly0 and v0, and the EMR had been considered a transitional procedure. Colonoscopy performed 26 months after EMR revealed a submucosal tumor (SMT) near the EMR scar in the left wall of the Ra portion of the rectum. An abdominal enhanced computed tomography scan revealed infiltration of the thickness of the wall with limited extramural extension, and a lymph node 10 mm in diameter. Endoscopic ultrasound-guided fine-needle aspiration also indicated a SMT on the left side of the Ra portion of the rectum that extended from the submucosal layer to beyond the serosal layer, and a lymph node sized 17×11 mm to the left of the Ra portion near the oral side 2 cm from the SMT. The pathological findings confirmed the SMT to be an adenocarcinoma with a metastatic lymph node. Local and lymph node recurrence of rectal cancer following radical EMR was diagnosed, and laparoscopic ultra-low anterior resection, D3 lymph node dissection and a diverting ileostomy were performed. The pathological findings of the excised specimen were T3 (A/SS), ly0, v3, PN1b, pPM0, pDM0, pRM0 (100 µm) and pN0 (0/15). XELOX therapy was administered for 6 months postoperatively as adjuvant chemotherapy, and there has been no recurrence during the first 12 months of follow-up. D.A. Spandidos 2018-09 2018-07-05 /pmc/articles/PMC6109672/ /pubmed/30155253 http://dx.doi.org/10.3892/mco.2018.1667 Text en Copyright: © Matsumoto et al. This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License (https://creativecommons.org/licenses/by-nc-nd/4.0/) , which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. |
spellingShingle | Articles Matsumoto, Keita Matsuhashi, Nobuhisa Takahashi, Takao Tanahashi, Toshiyuki Matsui, Satoshi Suetsugu, Tomonari Tajima, Jesse Yu Imai, Takeharu Imai, Hisashi Tanaka, Yoshihiro Yamaguchi, Kazuya Suzui, Natsuko Miyazaki, Tatsuhiko Yoshida, Kazuhiro Local recurrence of T1a rectal cancer following radical endoscopic mucosal resection: A case report |
title | Local recurrence of T1a rectal cancer following radical endoscopic mucosal resection: A case report |
title_full | Local recurrence of T1a rectal cancer following radical endoscopic mucosal resection: A case report |
title_fullStr | Local recurrence of T1a rectal cancer following radical endoscopic mucosal resection: A case report |
title_full_unstemmed | Local recurrence of T1a rectal cancer following radical endoscopic mucosal resection: A case report |
title_short | Local recurrence of T1a rectal cancer following radical endoscopic mucosal resection: A case report |
title_sort | local recurrence of t1a rectal cancer following radical endoscopic mucosal resection: a case report |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6109672/ https://www.ncbi.nlm.nih.gov/pubmed/30155253 http://dx.doi.org/10.3892/mco.2018.1667 |
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