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KMID : 0191119970120050465
Journal of Korean Medical Science
1997 Volume.12 No. 5 p.465 ~ p.468
Flat depressed early colon cancer--a case report
Han D
Sohn JH/Cho YJ/Jeon YC/Kim HJ/Park KN/Chang SJ
Abstract
A flat depressed early colon cancer (FDEC) is characterized by non-polypoid growth pattern, no association of adenomatous tissues and a tendency of even small lesions toward submucosal invasion and lymph node metastasis. It supports de novo carcinogenesis of colorectal cancer, although most colorectal cancers arise in pre-existing adenoma (adenoma-carcinoma sequence). There have been few reports of small depressed cancers because of the difficulty in colonoscopic detection and the rapid development to ulcerating advanced cancers. We report a case of flat depressed early colon cancer confined to mucosa detected by indigo carmine contrast colonoscopy.
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