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Korean J Gastrointest Endosc > Volume 40(5); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;40(5): 329-333.
내시경 점막절제술로 진단한 조기 항문관 편평세포암 1예
김수웅ㆍ차재명ㆍ이정일ㆍ주광로ㆍ정성원ㆍ신현필ㆍ서유진ㆍ임준욱
경희대학교 의과대학 동서신의학병원 소화기내과학교실
A Case of Early-stage Squamous Cell Carcinoma of the Anal Canal Diagnosed by Endoscopic Mucosal Resection
Soo Woong Kim, M.D., Jae Myung Cha, M.D., Joung Il Lee, M.D., Kwang Ro Joo, M.D., Sung Won Jung, M.D., Hyun Phil Shin, M.D., Yu Jin Suh, M.D. and Jun Uk Lim, M.D.
Department of Internal Medicine, East-West Neo Medical Center, College of Medicine, Kyung Hee University, Seoul, Korea
Abstract
In the past, abdominoperineal resection was routinely performed for anal canal cancer, yet it is now known that squamous cell carcinoma of the anal canal has a favorable prognosis and it rarely requires radical surgery. Furthermore, T1 anal cancer, which represents about 10% of all anal canal cancers, has an excellent prognosis. Endoscopic mucosal resection (EMR), which has been used for removal of early-stage adenocarcinoma of the rectum, has not been reported as a treatment option for squamous cell carcinoma of the anal canal because making the endoscopic diagnosis of early-stage anal canal cancer is very difficult. We have experienced a case of early-stage squamous cell carcinoma of the anal canal that was identified without symptoms during routine screening colonoscopy and it was removed by EMR. As far as we know, it is the first case of early-stage anal canal cancer that was diagnosed and treated by endoscopic mucosal resection. (Korean J Gastrointest Endosc 2010;40:329-333)
Key Words: Anal canal, Endoscopic mucosal resection, Squamous cell carcinoma, Early-stage cancer
주요어: 항문관, 내시경 점막절제술, 편평세포암, 조기암
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