Korean Journal of Gastrointestinal Endoscopy 1995;15(1): 119-125.
증례 : 조기직장암의 내시경적 치료 - 부분 용종절제술 및 박리생검술 - ( Case Reports : Endoscopic Therapy for Early Rectal Cancer - Piecemeal polypectomy and strip biopsy resection technique - )
이옥재, 손미정, 김영채, 이정희, 고경혁 (Ok Jae Lee, Mee Jeong Sohn, Young Chai Kim, Jung Hee Lee and Kyung Hyuk Ko)
Abstract
The incidence of colorectal cancer has been increased gradually and it was about 6.9% of all malignancies in Korea. Early diagnosis was recognized as the most important factor influencing the prognosis of colorectal cancer and the incidence of early colorectal cancer was increasing. Thus great change was observed in the treatment of early colorectal cancer, endoscopic therapy as well as curative surgical resection is being accepted. We report a case of effective and safe endoscopic therapy for early rectal cancer in 5S-year-old male patient. He presented with rectal prolapse and bleeding of a year's duration. A large polypoid mass with fine nodular surface and thick, short stalk was seen in the rectum at 4cm above the anal verge during flexible sigmoidoscopy. After the histologic examination of specimen obtained by bite biopsy, CT scan of pelvic cavity and ultrasonogram of abdomen, the tumor was removed safe and completely by 2 sessions of piecemeal polypectomies and strip biopsy. He has been well without symptoms and signs of recurrence of rectal cancer for 20 months.
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