Potential problems of partial resection for colitis-associated cancer in a patient with ulcerative colitis: case report

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作者
Horio, Yuki [1 ]
Uchino, Motoi [1 ]
Kihara, Takako [2 ]
Bando, Toshihiro [1 ]
Kuwahara, Ryuichi [1 ]
Minagawa, Tomohiro [1 ]
Kusunoki, Kurando [1 ]
Watanabe, Kenji [3 ]
Hirota, Seiichi [2 ]
Ikeuchi, Hiroki [1 ]
机构
[1] Hyogo Coll Med, Dept Inflammatory Bowel Dis Surg, 1-1 Mukogawa Cho, Nishinomiya, Hyogo 6638501, Japan
[2] Hyogo Coll Med, Dept Surg Pathol, Nishinomiya, Hyogo, Japan
[3] Hyogo Coll Med, Dept Inflammatory Bowel Dis, Div Internal Med, Nishinomiya, Hyogo, Japan
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D O I
10.1093/jscr/rjab086
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R61 [外科手术学];
学科分类号
摘要
Total proctocolectomy and an ileal pouch-anal anastomosis are recommended as the standard procedure for ulcerative colitis (UC)-colitis-associated cancer (CAC). However, several studies have reported the partial colectomy and endoscopic resection of UC-CAC in recent years. We present a surgical case of UC-CAC that was detected at a site that had not been diagnosed preoperatively, and we report potential problems of partial colectomy and endoscopic resection through this case. Considerations of synchronous and metachronous cancer/dysplasia are important before partial resection is planned for CAC in UC. Moreover, it should be noted that endoscopic resection at the anal site can be a risk factor for pouch surgery failure due to fibrosis after resection.
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页数:4
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