Published in:
Open Access
01-02-2014 | Case Report
Local recurrence after rectal endoscopic submucosal dissection: a case of tumor cell implantation
Authors:
Takashi Inoue, Hisao Fujii, Fumikazu Koyama, Tadashi Nakagawa, Kazuaki Uchimoto, Shinji Nakamura, Takeshi Ueda, Naoto Nishigori, Keijiro Kawasaki, Shinsaku Obara, Takayuki Nakamoto, Yoshiyuki Nakajima
Published in:
Clinical Journal of Gastroenterology
|
Issue 1/2014
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Abstract
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.