RAPID RECURRENCE OF SIGMOID COLON CANCER AFTER ENDOSCOPIC RESECTION-A CASE-REPORT-

  • KAWAGUCHI Masahiko
    Department of Gastroenterological Surgery, Fukui Saiseikai Hospital, Fukui, JAPAN
  • MUNEMOTO Yoshinori
    Department of Gastroenterological Surgery, Fukui Saiseikai Hospital, Fukui, JAPAN
  • SAITOH Hideo
    Department of Gastroenterological Surgery, Fukui Saiseikai Hospital, Fukui, JAPAN
  • KASAHARA Yoshio
    Department of Gastroenterological Surgery, Fukui Saiseikai Hospital, Fukui, JAPAN
  • FUJISAWA Katsunori
    Department of Gastroenterological Surgery, Fukui Saiseikai Hospital, Fukui, JAPAN
  • MITSUI Takeshi
    Department of Gastroenterological Surgery, Fukui Saiseikai Hospital, Fukui, JAPAN
  • ASADA Yasuyuki
    Department of Gastroenterological Surgery, Fukui Saiseikai Hospital, Fukui, JAPAN
  • IIDA Yoshirou
    Department of Gastroenterological Surgery, Fukui Saiseikai Hospital, Fukui, JAPAN
  • MIURA Syohji
    Department of Gastroenterological Surgery, Fukui Saiseikai Hospital, Fukui, JAPAN
  • SUDO Yoshiko
    Department of Pathology, Fukui Saiseikai Hospital

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Other Title
  • 内視鏡的摘除後に短期間で進行癌にて局所再発したS状結腸癌の1例

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Abstract

Criteria for endoscopic resection of early colon cancer have been established in Japan. However, some cases can not undergo additional surgical resection after endoscopic resection because of poor general condition. Sometimes there is rapid recurrence of the tumor. A man who had been hospitalized for liver failure, was diagnosed as having early sigmoid colon cancer and endoscopic mucosal resection was performed. Additional resection was recommended because pathology showed tumor invasion near the cut margin, but the poor condition of this patient prevented further surgery. Although there was no recurrence 3 months after the resection, advanced cancer was detected at the stump of the excisional site by endoscopy 15 months after resection. More frequent endoscopic surveillance after the resection should be needed for lesion with tumor invasion near the cut margin.

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