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01-04-2008 | Case report

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

Authors: Seiji Tsunada, Kotaro Mannen, Kanako Yamaguchi, Shigehisa Aoki, Kazuyoshi Uchihashi, Shuji Toda, Takehiro Fujise, Ryo Shimoda, Hiroyuki Sakata, Ryuichi Iwakiri, Kazuma Fujimoto

Published in: Clinical Journal of Gastroenterology | Issue 1/2008

Abstract

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.

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Title: A case of advanced colonic cancer that developed from residual laterally spreading tumor treated by piecemeal endoscopic mucosal resection
Authors: Seiji Tsunada
Kotaro Mannen
Kanako Yamaguchi
Shigehisa Aoki
Kazuyoshi Uchihashi
Shuji Toda
Takehiro Fujise
Ryo Shimoda
Hiroyuki Sakata
Ryuichi Iwakiri
Kazuma Fujimoto
Publication date: 01-04-2008
Publisher: Springer Japan
Published in: Clinical Journal of Gastroenterology / Issue 1/2008
Print ISSN: 1865-7257
Electronic ISSN: 1865-7265
DOI: https://doi.org/10.1007/s12328-008-0003-6

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