Case of Colorectal Cancer After Cold Snare Polypectomy Successfully Salvaged on Endoscopic Submucosal Dissection.
additional therapy
cold snare polypectomy
colorectal cancer
endoscopic submucosal dissection
residual cancer
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
26 Oct 2020
26 Oct 2020
Historique:
entrez:
2
12
2020
pubmed:
3
12
2020
medline:
3
12
2020
Statut:
epublish
Résumé
Cold snare polypectomy is a well-established method for the resection of colorectal polyps measuring less than 10 mm in size. It may be performed in patients with early colorectal cancers because of the difficulty of endoscopic diagnosis. However, the therapeutic effect of cold snare polypectomy on cancers is unknown, and the need for appropriate surveillance and additional treatment for these patients remains to be fulfilled. Endoscopic submucosal dissection has been reported as a safe and effective method for treating recurrent or residual colorectal neoplasia following hot endoscopic mucosal resection. This report is of a case of a colorectal tumor measuring 8 mm that was treated using cold snare polypectomy and resulted in residual cancer. Endoscopic submucosal dissection was selected as salvage treatment for the residual lesion, and histopathological examination revealed free horizontal and vertical margins. We believe that performing endoscopic submucosal dissection at the site of the cancer resected with cold snare polypectomy ensured that there was no residual cancer left. It may be hypothesized that endoscopic submucosal dissection could evolve as the treatment of choice for patients with colorectal cancer after cold snare polypectomy.
Identifiants
pubmed: 33262917
doi: 10.7759/cureus.11182
pmc: PMC7689808
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e11182Informations de copyright
Copyright © 2020, Katagiri et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
World J Gastrointest Endosc. 2015 Nov 25;7(17):1250-6
pubmed: 26634041
Endoscopy. 2012 Jan;44(1):27-31
pubmed: 22125197
Surg Endosc. 2011 Jan;25(1):255-60
pubmed: 20559661
Dig Endosc. 2016 Jul;28(5):526-33
pubmed: 26927367
Am J Gastroenterol. 2008 Nov;103(11):2700-6
pubmed: 18853968
N Engl J Med. 2012 Feb 23;366(8):687-96
pubmed: 22356322
N Engl J Med. 1993 Dec 30;329(27):1977-81
pubmed: 8247072
Gastrointest Endosc. 2019 May;89(5):929-936.e3
pubmed: 30639542
Gastrointest Endosc. 2015 Mar;81(3):741-7
pubmed: 25708763
Ann Surg Treat Res. 2020 Apr;98(4):199-205
pubmed: 32274368