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

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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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Authors and Affiliations

  1. Department of Internal Medicine and Endoscopy, Saga Medical School, 5-1-1 Nabeshima, Saga, 849-8501, Japan

    Seiji Tsunada, Kotaro Mannen, Kanako Yamaguchi, Takehiro Fujise, Ryo Shimoda, Hiroyuki Sakata, Ryuichi Iwakiri & Kazuma Fujimoto

  2. Department of Pathology and Biodefense, Saga Medical School, Saga, Japan

    Shigehisa Aoki, Kazuyoshi Uchihashi & Shuji Toda

Authors
  1. Seiji Tsunada
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  2. Kotaro Mannen
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  3. Kanako Yamaguchi
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  4. Shigehisa Aoki
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  5. Kazuyoshi Uchihashi
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  6. Shuji Toda
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  7. Takehiro Fujise
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  8. Ryo Shimoda
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  9. Hiroyuki Sakata
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  10. Ryuichi Iwakiri
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  11. Kazuma Fujimoto
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Correspondence to Seiji Tsunada.

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Tsunada, S., Mannen, K., Yamaguchi, K. et al. A case of advanced colonic cancer that developed from residual laterally spreading tumor treated by piecemeal endoscopic mucosal resection. Clin J Gastroenterol 1, 18–22 (2008). https://doi.org/10.1007/s12328-008-0003-6

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  • DOI: https://doi.org/10.1007/s12328-008-0003-6

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