Que faire devant une tumeur superficielle étendue du rectum ? View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2010-02-19

AUTHORS

E. Samaha, C. Cellier

ABSTRACT

Lateral spreading tumors are superficial spreading neoplasms now increasingly diagnosed using high definition endoscopy and chromoscopic colonoscopy. There are two types of LST: granular type (LST-G) and non-granular type, (LST-NG). LST-NG type, especially the pseudodepressed type, has a significantly higher frequency of submucosal invasion than LST-G type. LSTs are usually removed, therefore, by endoscopic mucosal resection (EMR) but larger tumors (> 2 cm) may require piecemeal resection in case of LST-G type. Endoscopic submucosal dissection (ESD) allows en-bloc resection irrespective of the size of the lesionand is indicated in LST-NG type or large elevated lesions suspected to be carcinoma. Transanal endoscopic microsurgery (TEM) offers a minimally invasive alternative to radical surgery. Rectal ESD is still under evaluation in France in a SFED/INCa prospective trial. More... »

PAGES

78-81

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10190-010-0038-7

DOI

http://dx.doi.org/10.1007/s10190-010-0038-7

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1019666022


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