Intraluminal implantation of rectal carcinoma successfully resected by endoscopy.
A 55-year-old Japanese woman presented at our hospital complaining of hematochezia 4 months after surgery for a rectal carcinoma. A proctoscopy revealed 2 protuberant lesions in the rectum, 5 mm anally from the anastomotic suture line. The diagnosis of adenocarcinoma was confirmed by biopsy. It was considered that these lesions were caused by intraluminal implantation from the primary rectal carcinoma. The patient underwent an endoscopic resection for these recurrent lesions and has remained stable, with neither recurrence nor metastasis, in the 7 years since the resection. For rectal carcinoma, we propose early follow-up by proctoscopy, namely within 4 months after surgery.
Tanakaya
Kohji
K
Department of Surgery, Iwakuni National Hospital, Japan. tanakaya@iwakuni-nh.go.jp
Teramoto
Norihiro
N
Konaga
Eiji
E
Takeuchi
Hitoshi
H
Yasui
Yoshimasa
Y
Takeda
Akira
A
Yunoki
Yasuhiro
Y
Murakami
Ichiro
I
D005260:Female; D006801:Humans; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D011351:Proctoscopy; D012004:Rectal Neoplasms / Q000601:surgery*