Lateral Pelvic Lymph Node Recurrence 5 Year after Endoscopic Mucosal Resection for Superficial Lower Rectal Cancer (Case Report)
Year: 2006
Type: article
Study design: Case Report
Abstract: A 73-year-old woman underwent endoscopic mucosal resection for a 10-mm-diameter rectal polyp (Isp)within 5 cm of the anal verge in November 1995.Pathological examination showed that well-differentiated adenocarcinoma had invaded the submucosal layer with vascular invasion.Although secondary surgical treatment was recommended, the patient refused further treatment.Right-sided sciatica developed in December 2000,and metastasis to the right obturator lymph node was detected with computed tomography.Intrapelvic lymphadenectomy was performed in February 2001 and revealed no other metastatic lesions.Total mesorectal excision (TME) should be performed if another surgical procedure is to follow endoscopic mucosal resection.Because lateral pelvic lymph nodes are not dissected at TM E, the procedure had no additional benefit for our patient.The secondary surgical treatment for early cancer in the lower rectum should selected carefully.
Institution: Jikei University School of Medicine
Language: English
Subfield: Oncology
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2160896266