pT2 report after transanal endoscopic microsurgery excision in elderly patient T1 staged: a case report
| Autor: | Lorenzo Cattorini, Alessandro Spizzirri, Pamela Delmonaco, Giammario Giustozzi, Carla Migliaccio, Barbara Rossetti, Francesco Sciannameo, Marco Coccetta, Roberto Cirocchi, Vincenzo Napolitano |
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| Rok vydání: | 2009 |
| Předmět: |
medicine.medical_specialty
Pathology medicine.diagnostic_test Virtual colonoscopy business.industry medicine.medical_treatment Colonoscopy Rectum Microsurgery Endoscopy Lesion medicine.anatomical_structure Meeting Abstract Biopsy medicine Radiology Geriatrics and Gerontology Stage (cooking) medicine.symptom business |
| Zdroj: | BMC Geriatrics |
| ISSN: | 1471-2318 |
| Popis: | Materials and methods We present a case of rectorrhagia in an 83-years old patient. On rectal exploration a little hard lesion was found. A colonoscopy with biopsy was performed to search for synchronous lesions. A virtual colonoscopy and CT total body were performed to stage the patient and integrate the endoscopy and they both were negative. The endoscopy confirmed the lesion (adenocarcinoma G2) and described it as sessile, with a diameter of 22 mm, in the right wall of the middle rectum. A transanal ultrasonography was performed and staged the lesion as T1, N0. The hematological investigations showed lymphocytosis in relation with an anamnestic LLC, tumor markers (CEA, Ca 19.9) were in normal range. Considering stage (T1, N0, M0), age and clinical status, the decision of performing TEM was taken. The cancer was completely removed and sent for histological examination. |
| Databáze: | OpenAIRE |
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