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KMID : 0359020110420020109
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Korean Journal of Gastrointestinal Endoscopy
2011 Volume.42 No. 2 p.109 ~ p.112
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De Novo Submucosal Colorectal Cancer in a 3 mm Sessile Polyp
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Koo So-My
Kim Jin-Oh
Kim Hyun-Gun
Lee Tae-Hee
Jeon Seong-Ran
Jin So-Young
Lee Joon-Seong
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Abstract
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The majority of colorectal carcinomas (95∼100%) are thought to arise from adenomas. Yet colorectal carcinomas may rarely arise de novo. The popular definition of de novo carcinoma is that the lesion should consist exclusively of a carcinoma histologically and contain no adenomatous elements. Without an adenoma-carcinoma sequence, de novo carcinomas have a much higher rate of submucosal invasion, despite their small size. Their speed of growth is thought to be rapid. Some studies have shown that de novo carcinomas might arise as a macroscopically flat or depressed lesion, rather than a protruded one. However, the typical macroscopic findings of de novo carcinomas have not been established. They might be variable macroscopically and include a protruded type. We report a case of de novo colorectal carcinoma that invaded the submucosal layer involving a minute sessile polyp only 3 mm in diameter, which was removed by endoscopic mucosal resection.
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KEYWORD
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Submucosal invasive colorectal cancer, Early colorectal carcinoma, Minute sessile polyp, De novo carcinoma
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