Endoscopy 2024; 56(S 02): S310-S311
DOI: 10.1055/s-0044-1783445
Abstracts | ESGE Days 2024
ePoster

Endoscopic treatment for adenocarcinoma in giant rectal lesion

F. Côrte-Real
1   Hospital do Divino Espírito Santo, Ponta Delgada, Portugal
,
N. Nunes
1   Hospital do Divino Espírito Santo, Ponta Delgada, Portugal
,
D. B. Moura
1   Hospital do Divino Espírito Santo, Ponta Delgada, Portugal
,
C. Chálim Rebelo
1   Hospital do Divino Espírito Santo, Ponta Delgada, Portugal
,
M. Flor De Lima
1   Hospital do Divino Espírito Santo, Ponta Delgada, Portugal
,
F. Taveira
1   Hospital do Divino Espírito Santo, Ponta Delgada, Portugal
,
M. P. Costa Santos
1   Hospital do Divino Espírito Santo, Ponta Delgada, Portugal
,
V. Costa Santos
1   Hospital do Divino Espírito Santo, Ponta Delgada, Portugal
,
A. C. Rego
1   Hospital do Divino Espírito Santo, Ponta Delgada, Portugal
,
J. R. Pereira
1   Hospital do Divino Espírito Santo, Ponta Delgada, Portugal
,
N. Paz
1   Hospital do Divino Espírito Santo, Ponta Delgada, Portugal
,
V. Carneiro
1   Hospital do Divino Espírito Santo, Ponta Delgada, Portugal
,
M. A. Duarte
1   Hospital do Divino Espírito Santo, Ponta Delgada, Portugal
› Author Affiliations
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Abstract Text A 79-year-old male underwent total colonoscopy, revealing a 70 mm Paris 0-IIa+Is laterally spreading tumor-granular nodular mixed type in the rectum (LST-G-M), with two dominant nodules (the largest with 15 mm), JNET 2B. The patient underwent endoscopic submucosal dissection.

Histopathology of the specimen identified a 70x50 mm lesion, with tubular adenoma with low to high grade dysplasia. It included a moderately differentiated invasive intestinal-type adenocarcinoma, with superficial submucosa invasion (sm1) with grade 1 budding. There was an en bloc R0 resection. No lymphovascular invasion was observed. The patient remains asymptomatic and no stenosis was identified four months later [1] [2].

Video http://data.process.y-congress.com/ScientificProcess/Data//106/474/1197/7a8e9461-c613-4da3-a901-a7184c28df25/Uploads/13821_ESD_ESGE.mp4



Publication History

Article published online:
15 April 2024

© 2024. European Society of Gastrointestinal Endoscopy. All rights reserved.

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  • References

  • 1 Pimentel-Nunes P, Libânio D, Bastiaansen BAJ. et al. Endoscopic submucosal dissection for superficial gastrointestinal lesions: European Society of Gastrointestinal Endoscopy (ESGE) Guideline – Update 2022. Endoscopy 2022; 54 (06) 591-622
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  • 2 Libânio D, Pimentel-Nunes P, Bastiaansen BAJ. et al. Endoscopic submucosal dissection techniques and technology: European Society of Gastrointestinal Endoscopy (ESGE) Technical Review. Endoscopy 2023; 55 (04) 361-389
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