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Intestinal Research 2003;1(2):186-191.
Published online November 27, 2003.
Usefulness of Follow-up Colonoscopy in Laterally Spreading Tumor Resected by Endoscopic Piecemeal Mucosal Resection
Hwan Yeol Kim, Bong Min Ko, Sang Woo Cha, Kye Won Kwon, Soo Jin Hong, Chang Beom Ryu, Young Seok Kim, Jong Ho Moon, Jin Oh Kim, Joo Young Cho, Joon Sung Lee, Moon Sung Lee, Chan Sup Shim, Boo Sung Sung Kim
Departments of Internal Medicine and Pathology, Soonchunhyang University College of Medicine, Seoul, Korea
대장의 측방발육형 종양에서 내시경적 분할점막절제술 후 추적 대장내시경의 유용성
김환열, 고봉민, 차상우, 권계원, 홍수진, 유창범, 김영석, 문종호, 김진오, 조주영, 이준성, 이문성, 심찬섭, 김부성
순천향대학교 의과대학 내과학교실, 병리학교실
Abstract
Background/Aims
Laterally spreading tumors (LST) of the colon are defined as tumors over 10 mm in diameter that are low in height and grow superficially. These tumors are highly malignant and usually mucosal lesions, therefore endoscopic mucosal resection is desirable. We analysed retrospectively the result of endoscopic piecemeal mucosal resection (EPMR) in LSTs larger than 20 mm in diameter. Methods: 21 patients with LSTs larger than 20 mm in diameter were treated using EPMR. The resection sites were examined for residual or recurrent lesions by follow-up colonoscopy. Results: Of the 21 patients who underwent EPMR, 2 patients performed surgical resection and 4 patients were lost during follow-up period. Residual or recurrent lesions were detected in 5 of these 15 patients after EPMR. After additional endoscopic therapy, no more residual or recurrent lesions were detected. Conclusions: After EPMR for large LSTs, it is necessary to strictly follow-up at least within 1 year. (Intestinal Research 2003;2:186-191)
Key Words: Laterally spreading tumor, Endoscopic piecemeal mucosal resection
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