endoscopic observation of the growth process of a right-side sessile serrated adenoma/polyp with cytological dysplasia to an invasive submucosal adenocarcinoma
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2016
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Abstract
A sessile serrated adenoma/polyp (SSA/P) with cytological dysplasia in the right colon, which transformed to an invasive submucosal adenocarcinoma finally, was endoscopically observed in a 76-year-old woman. A whitish soft SSA/P (approximately 25 mm in diameter) was detected in the cecum. Biopsy samples were obtained from the small nodule, and the lesion was eventually diagnosed as an SSA/P with cytological dysplasia, considering endoscopic observations, among which the narrow-band imaging features suggested that the lesion was adenomatous, that is, a round-oval pattern, and hyperplastic, that is, comprising a circular pattern with dots and an invisible capillary vessel. After 11 months, an SSA/P had rapidly developed into a submucosal adenocarcinoma with lymphatic infiltrations, and the most aggressive deep invasion was observed in the central depression. This case suggests that right-side SSA/Ps with cytological dysplasia should be removed immediately, considering the potential for rapid progression to a larger size and eventually to deep and extensive cancer.
| Reference Key |
omori2016caseendoscopic
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| Authors | ;Kaoru Omori;Kanako Yoshida;Sadafumi Tamiya;Tsutomu Daa;Masahiro Kan |
| Journal | journal of indian society of periodontology |
| Year | 2016 |
| DOI |
10.1155/2016/6576351
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| URL | |
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