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KMID : 1039620110010020129
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Korean Journal of Family Practice
2011 Volume.1 No. 2 p.129 ~ p.136
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Two Cases of Successful Endoscopic Resection of Early Colon Cancer in Asymptomatic Adult with Normal Fecal Occult Blood Test
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Lee Seung-Hwa
Park Eal-Whan
Cheong Yoo-Seock
Choi Eun-Young
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Abstract
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Globally, colorectal cancer (CRC) is one of the most common cancer. There are many options for screening, such as including fecal occult blood test (FOBT), double-contrast barium enema, computed tomography colonoscopy, and colonoscopy. Among these examinations, FOBT is current screening tool of National CRC Program in Korea. However, FOBT is of limited value as a screening test for CRC, because of a low sensitivity and specificity. In this point of view, colonoscopy has been becoming gold standard of screening tool for CRC, because of high sensitivity and specifi city. In addition, colonoscopy allows various therapeutic interventions such as polypectomy, endoscopic mucosal resection, and endoscopic submucosal dissection. The early colon cancer is defi ned as carcinoma confi ned to the mucosa or submucosa irrespective of lymphnode involvement. Since recent improvement of the endoscopic devices and skills, it can be treated by endoscopic resection. Here, we report that two patients with negative FOBT undergoing successful endoscopic removal of early colon cancer.
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KEYWORD
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Early Colon Cancer, Colonoscopy, Endoscopic Resection
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