• Internal medicine · Feb 2021

    Case Reports

    Double Early Rectal Cancer Arising from Multiple Inflammatory Cloacogenic Polyps Resected by Endoscopic Submucosal Dissection.

    • Yorinari Ochiai, Akira Matsui, Shinji Ito, Yutaka Takazawa, Daisuke Kikuchi, and Shu Hoteya.
    • Department of Gastroenterology, Toranomon Hospital, Japan.
    • Intern. Med. 2021 Feb 15; 60 (4): 533-537.

    AbstractA 45-year-old man visited our institution due to the onset of hematochezia. He had a previous episode nine years earlier and colonoscopy at that time revealed multiple polyps, which were consistent with inflammatory cloacogenic polyps (ICPs) on the dentate line. Colonoscopy was performed again and two of the ICPs had grown. Both lesions were pathologically diagnosed as adenocarcinomas based on biopsies. Endoscopic submucosal dissection (ESD) was performed and the two lesions were diagnosed as double well-differentiated adenocarcinomas arising from ICPs. To our knowledge, this is the first reported case of double early rectal cancer in ICPs, which were followed endoscopically and successfully resected with ESD.

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