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Advanced Colon Cancer after Curative Resection of Intramucosal Adenocarcinoma with Endoscopic Submucosal Dissection

Endoscopic resection, particularly endoscopic submucosal dissection (ESD), for colorectal cancers enables a precise pathological diagnosis and safe R0 resection. The recurrence rate after ESD is generally extremely low, with annual surveillance colonoscopy recommended. However, surveillance may not...

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Autores principales: Sasaki, Akiko, Ichita, Chikamasa, Sumida, Chihiro, Kimura, Karen, Nishino, Takashi, Tasaki, Junichi, Masuda, Sakue, Kawachi, Jun, Kudo, Madoka, Teshima, Shinichi, Koizumi, Kazuya, Kako, Makoto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8454252/
https://www.ncbi.nlm.nih.gov/pubmed/34616263
http://dx.doi.org/10.1159/000516314
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author Sasaki, Akiko
Ichita, Chikamasa
Sumida, Chihiro
Kimura, Karen
Nishino, Takashi
Tasaki, Junichi
Masuda, Sakue
Kawachi, Jun
Kudo, Madoka
Teshima, Shinichi
Koizumi, Kazuya
Kako, Makoto
author_facet Sasaki, Akiko
Ichita, Chikamasa
Sumida, Chihiro
Kimura, Karen
Nishino, Takashi
Tasaki, Junichi
Masuda, Sakue
Kawachi, Jun
Kudo, Madoka
Teshima, Shinichi
Koizumi, Kazuya
Kako, Makoto
author_sort Sasaki, Akiko
collection PubMed
description Endoscopic resection, particularly endoscopic submucosal dissection (ESD), for colorectal cancers enables a precise pathological diagnosis and safe R0 resection. The recurrence rate after ESD is generally extremely low, with annual surveillance colonoscopy recommended. However, surveillance may not be considered for super-elderly patients owing to their condition. This is a case report of an 85-year-old man in whom curative resection was achieved for an intramucosal adenocarcinoma with ESD. The patient presented with a hypoechoic mass located in his lower right abdomen, diagnosed via surveillance abdominal ultrasound. He had undergone curative ESD for intramucosal cecal cancer 2 years prior. Colonoscopy revealed a type 2 epithelial tumor at the proximal aspect of the ESD scar. Ileocolic resection with lymph node dissection was performed. An epithelial tumor and well-differentiated adenocarcinoma but not a submucosal tumor was detected in the mucosal layer. The lesion was diagnosed not as a local recurrence after ESD but as a newly emerged original advanced cancer. After ESD for colorectal cancer, a newly developed advanced cancer may occur at the site of the ESD scar in a shorter term than usual. Surveillance colonoscopy after ESD is necessary even for super-elderly patients.
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spelling pubmed-84542522021-10-05 Advanced Colon Cancer after Curative Resection of Intramucosal Adenocarcinoma with Endoscopic Submucosal Dissection Sasaki, Akiko Ichita, Chikamasa Sumida, Chihiro Kimura, Karen Nishino, Takashi Tasaki, Junichi Masuda, Sakue Kawachi, Jun Kudo, Madoka Teshima, Shinichi Koizumi, Kazuya Kako, Makoto Case Rep Gastroenterol Single Case Endoscopic resection, particularly endoscopic submucosal dissection (ESD), for colorectal cancers enables a precise pathological diagnosis and safe R0 resection. The recurrence rate after ESD is generally extremely low, with annual surveillance colonoscopy recommended. However, surveillance may not be considered for super-elderly patients owing to their condition. This is a case report of an 85-year-old man in whom curative resection was achieved for an intramucosal adenocarcinoma with ESD. The patient presented with a hypoechoic mass located in his lower right abdomen, diagnosed via surveillance abdominal ultrasound. He had undergone curative ESD for intramucosal cecal cancer 2 years prior. Colonoscopy revealed a type 2 epithelial tumor at the proximal aspect of the ESD scar. Ileocolic resection with lymph node dissection was performed. An epithelial tumor and well-differentiated adenocarcinoma but not a submucosal tumor was detected in the mucosal layer. The lesion was diagnosed not as a local recurrence after ESD but as a newly emerged original advanced cancer. After ESD for colorectal cancer, a newly developed advanced cancer may occur at the site of the ESD scar in a shorter term than usual. Surveillance colonoscopy after ESD is necessary even for super-elderly patients. S. Karger AG 2021-07-06 /pmc/articles/PMC8454252/ /pubmed/34616263 http://dx.doi.org/10.1159/000516314 Text en Copyright © 2021 by S. Karger AG, Basel https://creativecommons.org/licenses/by-nc/4.0/This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.
spellingShingle Single Case
Sasaki, Akiko
Ichita, Chikamasa
Sumida, Chihiro
Kimura, Karen
Nishino, Takashi
Tasaki, Junichi
Masuda, Sakue
Kawachi, Jun
Kudo, Madoka
Teshima, Shinichi
Koizumi, Kazuya
Kako, Makoto
Advanced Colon Cancer after Curative Resection of Intramucosal Adenocarcinoma with Endoscopic Submucosal Dissection
title Advanced Colon Cancer after Curative Resection of Intramucosal Adenocarcinoma with Endoscopic Submucosal Dissection
title_full Advanced Colon Cancer after Curative Resection of Intramucosal Adenocarcinoma with Endoscopic Submucosal Dissection
title_fullStr Advanced Colon Cancer after Curative Resection of Intramucosal Adenocarcinoma with Endoscopic Submucosal Dissection
title_full_unstemmed Advanced Colon Cancer after Curative Resection of Intramucosal Adenocarcinoma with Endoscopic Submucosal Dissection
title_short Advanced Colon Cancer after Curative Resection of Intramucosal Adenocarcinoma with Endoscopic Submucosal Dissection
title_sort advanced colon cancer after curative resection of intramucosal adenocarcinoma with endoscopic submucosal dissection
topic Single Case
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8454252/
https://www.ncbi.nlm.nih.gov/pubmed/34616263
http://dx.doi.org/10.1159/000516314
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