Korean J Med.  2016 Apr;90(4):313-317. 10.3904/kjm.2016.90.4.313.

Removal of Anorectal Cancer by Endoscopic Submucosal Dissection

Affiliations
  • 1Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea. reshi@hanmail.net
  • 2Department of General Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea.
  • 3Department of Pathology, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea.

Abstract

Anorectal cancer is traditionally treated via abdominoperineal resection and/or chemoradiation. Currently, endoscopic submucosal dissection (ESD) is widely used to treat early gastrointestinal epithelial neoplasias. However, the use of ESD to treat lesions of the anal canal raises concerns that do not arise when treating lesions of the stomach and colorectum. Therefore, particular care is needed when treating lesions in the anal area. We recently treated a 75-year-old woman who was scheduled for surgical resection to treat anorectal cancer. The lesion was successfully removed using ESD. This is the first report of the use of ESD to treat anorectal cancer in Korea. Here, we present our case report and review the relevant literature.

Keyword

Anal canal; Dentate line; Endoscopic submucosal dissection

MeSH Terms

Aged
Anal Canal
Female
Humans
Korea
Stomach
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