| Early colon cancer within a diverticulum treated by magnifying chromoendoscopy and laparoscopy. | |
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MedLine Citation:
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PMID: 20333800 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report a unique case of intramucosal carcinoma in a tubulovillous adenoma arising from a single diverticulum. Endoscopic mucosal resection (EMR) was carried out successfully and completely with the assistance of laparoscopy. A 71-year-old man was admitted to our hospital because of melena and anemia. Emergent colonoscopy showed diverticulosis in the right-sided colon. However, endoscopy could not exactly detect the bleeding site. A flat elevated polyp was found within a single diverticulum located in the descending colon and diagnosed as an intramucosal carcinoma, as magnifying chromoendoscopy revealed a type IV pit pattern. As his diverticular bleeding repeated, a right-sided hemicolectomy was decided for treatment, the polyp within the diverticulum was also completely removed by EMR with the assistance of laparoscopy. Although a colonic perforation was detected immediately after EMR, the perforation was closed with endoclips intraluminally and also repaired laparoscopically from the serosal side. Histologically, the resected lesion was an intramucosal well-differentiated adenocarcinoma and the surgical margin was free of tumor. |
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Authors:
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Kuang I Fu; Yukihiro Hamahata; Yasunobu Tsujinaka |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: World journal of gastroenterology : WJG Volume: 16 ISSN: 1007-9327 ISO Abbreviation: World J. Gastroenterol. Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-03-24 Completed Date: 2010-07-13 Revised Date: 2010-09-30 |
Medline Journal Info:
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Nlm Unique ID: 100883448 Medline TA: World J Gastroenterol Country: China |
Other Details:
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Languages: eng Pagination: 1545-7 Citation Subset: IM |
Affiliation:
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Department of Coloproctology, Tokatsu-Tsujinaka Hospital, Chiba 270-1168, Japan. fukuangi@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adenocarcinoma
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diagnosis,
etiology,
surgery* Adenoma, Villous / diagnosis, etiology, surgery* Aged Anemia / etiology Colectomy* / adverse effects Colonic Neoplasms / diagnosis, etiology, surgery* Colonic Polyps / diagnosis, etiology, surgery* Colonoscopy / adverse effects, methods* Diverticulum, Colon / complications* Early Detection of Cancer Gastrointestinal Hemorrhage / etiology Humans Image Enhancement Intestinal Mucosa / pathology, surgery Intestinal Perforation / etiology, surgery Laparoscopy* / adverse effects Male Melena / etiology Treatment Outcome |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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