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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| Format: | Article |
| Language: | English |
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Karger Publishers
2021-07-01
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| Series: | Case Reports in Gastroenterology |
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| Online Access: | https://www.karger.com/Article/FullText/516314 |
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| author | Akiko Sasaki Chikamasa Ichita Chihiro Sumida Karen Kimura Takashi Nishino Junichi Tasaki Sakue Masuda Jun Kawachi Madoka Kudo Shinichi Teshima Kazuya Koizumi Makoto Kako |
| author_facet | Akiko Sasaki Chikamasa Ichita Chihiro Sumida Karen Kimura Takashi Nishino Junichi Tasaki Sakue Masuda Jun Kawachi Madoka Kudo Shinichi Teshima Kazuya Koizumi Makoto Kako |
| author_sort | Akiko Sasaki |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-16T15:00:46Z |
| format | Article |
| id | doaj.art-03bd689553b342e2848d990e665e5c18 |
| institution | Directory Open Access Journal |
| issn | 1662-0631 |
| language | English |
| last_indexed | 2024-12-16T15:00:46Z |
| publishDate | 2021-07-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Gastroenterology |
| spelling | doaj.art-03bd689553b342e2848d990e665e5c182022-12-21T22:27:17ZengKarger PublishersCase Reports in Gastroenterology1662-06312021-07-0115260360910.1159/000516314516314Advanced Colon Cancer after Curative Resection of Intramucosal Adenocarcinoma with Endoscopic Submucosal DissectionAkiko Sasaki0Chikamasa Ichita1Chihiro Sumida2Karen Kimura3Takashi Nishino4Junichi Tasaki5Sakue Masuda6Jun Kawachi7Madoka Kudo8Shinichi Teshima9Kazuya Koizumi10Makoto Kako11Gastroenterology Medicine Center, Shonan Kamakura General Hospital, Kamakura, JapanGastroenterology Medicine Center, Shonan Kamakura General Hospital, Kamakura, JapanGastroenterology Medicine Center, Shonan Kamakura General Hospital, Kamakura, JapanGastroenterology Medicine Center, Shonan Kamakura General Hospital, Kamakura, JapanGastroenterology Medicine Center, Shonan Kamakura General Hospital, Kamakura, JapanGastroenterology Medicine Center, Shonan Kamakura General Hospital, Kamakura, JapanGastroenterology Medicine Center, Shonan Kamakura General Hospital, Kamakura, JapanDepartment of General Surgery, Shonan Kamakura General Hospital, Kamakura, JapanDepartment of Diagnostic Pathology, Shonan Kamakura General Hospital, Kamakura, JapanDepartment of Diagnostic Pathology, Shonan Kamakura General Hospital, Kamakura, JapanGastroenterology Medicine Center, Shonan Kamakura General Hospital, Kamakura, JapanGastroenterology Medicine Center, Shonan Kamakura General Hospital, Kamakura, JapanEndoscopic 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.https://www.karger.com/Article/FullText/516314local recurrencepostcolonoscopy colorectal cancerrapid growthendoscopic submucosal dissection for colorectal cancerinterval cancer |
| spellingShingle | Akiko Sasaki Chikamasa Ichita Chihiro Sumida Karen Kimura Takashi Nishino Junichi Tasaki Sakue Masuda Jun Kawachi Madoka Kudo Shinichi Teshima Kazuya Koizumi Makoto Kako Advanced Colon Cancer after Curative Resection of Intramucosal Adenocarcinoma with Endoscopic Submucosal Dissection Case Reports in Gastroenterology local recurrence postcolonoscopy colorectal cancer rapid growth endoscopic submucosal dissection for colorectal cancer interval cancer |
| 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 | local recurrence postcolonoscopy colorectal cancer rapid growth endoscopic submucosal dissection for colorectal cancer interval cancer |
| url | https://www.karger.com/Article/FullText/516314 |
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