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- W2381018752 abstract "Objective To evaluate the clinical value of the diagnosis and treatment for laterally spreading tumor in the large intestine and early colorectal cancer by chromoendoscopy and endoscopic mucosal resection. Methods 3,860 patients were examined in our hospital by endoscopic chromoscopy during the period from June 2000 to June 2005. Once the lesions including enteric cavity mucosal protrusion, erythema, rough, interruption of the capillary network and the mucosal innominate grooves were detected, indigo carmine (0.4%) was sprayed onto the surface of the lesion in order to outline the size and morphological type by enteroscope. The submucosal tumors were confirmed by insufflation and deflation method or injection of saline into the submucosa. 21 lesions were treated with endoscopic mucosal resection (EMR) technique, 11 lesions were treated with piecemeal EMR method, 6 lesions were performed endoscopic mucosal biopsy. All specimen were checked by pathologist. Result 38 lesions of LST were found, the detection rate was 0.98%. 18 lesions were classified into granular homogeneous type (46.6%), 10 lesions into nodular mixed type (25.9%), 7 lesions into even protrusive type(18.1%) and 3 lesions into false concavity type(7.8%). 15 LST lesions was in the rectum, 8 in the sigmoid colon, 5 in the descending colon, 4 in the transverse colon, 3 in the ascending colon and 3 in the ileocecal junction. The pathological diagnosis revealed that 5 lesions showed early malignant change (3 intramucosal cancer and 2 submucosal cancer). The detection rate of early colorectal cancer in all LST was 13.2%, in which 2 lesions were in progressive stage, 31 lesions were innocence adenoma (22 lesions were villous adenoma, 9 lesions were tubular adenomas). Conclusion LST has a close relationship with colorectal cancer. Endoscopic mucosa chromoscopy is effective to detect LST. EMR or EPMR may be considered as a good treatment for early colorectal cancer." @default.
- W2381018752 created "2016-06-24" @default.
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- W2381018752 date "2006-01-01" @default.
- W2381018752 modified "2023-09-24" @default.
- W2381018752 title "Diagnosis and treatment of laterally spreading tumor of the large intestine by chromoendoscopy and endoscopic mucosal resection" @default.
- W2381018752 hasPublicationYear "2006" @default.
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