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KMID : 0614620200760030159
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Korean Journal of Gastroenterology
2020 Volume.76 No. 3 p.159 ~ p.163
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Serrated Polyposis Syndrome with a Synchronous Colon Adenocarcinoma Treated by an Endoscopic Mucosal Resection
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Lee Sang-Hoon
Lee Sung-Joon
Park Sung-Chul
Nam Seung-Joo
Kang Myeong-Ho
Kim Tae-Suk
Lee Seung-Koo
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Abstract
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Serrated polyposis syndrome (SPS) can transform to malignant lesions through the sessile serrated pathway and traditional serrated pathway. These pathways may cause rapid neoplastic progression compared to the adenoma-carcinoma sequence, which may cause interval colorectal cancer. The authors experienced a case of SPS with a synchronous colon adenocarcinoma that was treated with an endoscopic mucosal resection. In pathology reviews, other parts of the adenocarcinoma showed sessile serrated adenoma. Therefore, patients with SPS have a potential for malignant transformation, highlighting the need for strict colonoscopy surveillance starting at the time of SPS diagnosis.
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KEYWORD
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Intestinal polyposis, Adenocarcinoma, Endoscopic mucosal resection
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