Korean Journal of Gastrointestinal Endoscopy 1995;15(3): 479-485.
원저 : 조기대장암의 내시경소견 분석 ( Original Articles : Analysis of Endoscopic Features of Early Colon Cancer )
최규완, 윤용범, 송인성, 김정룡, 정현채, 장유현, 김태헌, 신건성, 조창락, 한철주, 한상욱, 박재갑 (Kyoo Wan Choi, Yong Bum Yoon, In Sung Song, Chung Yong Kim, Hyun Chae Jung, Yoo Hyun Jang, Tae Hun Kim, Gun Seong Sheen, Chang Rak Cho, Chul Ju Han, Sang Uk Han and Jae Gahb Park)
Abstract
The prevalence of colon cancer is increasing in Korea and the principal strategy of its management is early detection and surgical resection. For the early detection of colon cancer, endoscopic evaluation is important and the ability to find out early stage small lesion is needed for the endoscopist. To find out encloscopic features of early colon cancer, we reviewed 17 cases of early colon cancer who have admitted to Seoul National University Hospital from January 1982 to December 1993. 1)59% of the lesions were located in rectum and the size ranged from 0.7cm to 9cm, all of the 17 cases showed polypoid mass contour and the surface of them had erosion, hyperemia, ulceration and easy touch bleeding tendency. 2) Colon cancer was diagnosed by endoscopic gross findings in 41% and endoscopic biopsy could confirm colon cancer in 70%. However, barium enema could diagnose only 41% of early colon cancer. 3) Five cases were operated under the diagnosis of colonic adenoma which were large(>3 cm) villous type or contained severe dysplasia 4) Submucosal tumor infiltration was found in 10 cases and 65% had associated adenoma 5) Lymph node involvement was none and there was no recurrence in 47 month follow up period after various surgical treatments.
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