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Mesenteric phlebosclerosis complicating colonic cancer treated by endoscopic submucosal dissection.
- Source :
- Clinical Journal of Gastroenterology; 2020, Vol. 13 Issue 6, p1183-1188, 6p
- Publication Year :
- 2020
-
Abstract
- A 67-year old woman with a history of long-term Chinese herb use was admitted to our institution complaining of abdominal pain. Barium enema disclosed rigidity of throughout the proximal colon and a slightly elevated lesion in the transverse colon. Colonoscopy showed diffuse and bronze mucosa in the proximal colon, which was compatible with mesenteric phlebosclerosis. There was also a reddish, elevated lesion in the transverse colon. Magnifying colonoscopy revealed irregular microsurface and microvessels on the surface of the lesion. Under a diagnosis of intramucosal cancer, the elevated lesion was treated by endoscopic submucosal dissection. Histological examination of the resected specimen showed intramucosal well-differentiated adenocarcinoma, and fibrous thickening of the vascular wall together with collagen deposition in the submucosa. The final diagnosis was an intramucosal cancer occurring in mesenteric phlebosclerosis. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 18657257
- Volume :
- 13
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Clinical Journal of Gastroenterology
- Publication Type :
- Academic Journal
- Accession number :
- 147048541
- Full Text :
- https://doi.org/10.1007/s12328-020-01205-5