PT2 report after transanal endoscopic microsurgery excision in elderly patient T1 staged: a case report

Lorenzo Cattorini,Vincenzo Napolitano,Barbara Rossetti,Francesco Sciannameo,Roberto Cirocchi,Carla Migliaccio,Giammario Giustozzi,Alessandro Spizzirri,Marco Coccetta,Pamela Delmonaco

doi:10.1186/1471-2318-9-s1-a101

Lorenzo Cattorini, Vincenzo Napolitano + Show 8 more

Open Access

https://doi.org/10.1186/1471-2318-9-s1-a101

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Journal: BMC Geriatrics	Publication Date: Apr 1, 2009
License type: CC BY 2.0

Affiliation: University of Perugia

Abstract

Materials and methods We present a case of rectorrhagia in an 83-years old patient. On rectal exploration a little hard lesion was found. A colonoscopy with biopsy was performed to search for synchronous lesions. A virtual colonoscopy and CT total body were performed to stage the patient and integrate the endoscopy and they both were negative. The endoscopy confirmed the lesion (adenocarcinoma G2) and described it as sessile, with a diameter of 22 mm, in the right wall of the middle rectum. A transanal ultrasonography was performed and staged the lesion as T1, N0. The hematological investigations showed lymphocytosis in relation with an anamnestic LLC, tumor markers (CEA, Ca 19.9) were in normal range. Considering stage (T1, N0, M0), age and clinical status, the decision of performing TEM was taken. The cancer was completely removed and sent for histological examination.

Highlights

TEM is a surgical procedure characterized by full thickness excision with curative purpose
XI Annual Meeting of The Italian Society of Geriatric Surgery Francesco Sciannameo, Giammario Giustozzi and Beatrice Sensi Publication of this supplement was made possible with support from the Fondazione Cassa di Risparmio di Terni e Narni Meeting abstracts – A single PDF containing all abstracts in this Supplement is available here. http://www.biomedcentral.com/content/pdf/1471-2318-9-S1
A colonoscopy with biopsy was performed to search for synchronous lesions

Summary

Introduction

TEM is a surgical procedure characterized by full thickness excision with curative purpose. Open Access pT2 report after transanal endoscopic microsurgery excision in elderly patient T1 staged: a case report Lorenzo Cattorini*, Marco Coccetta, Alessandro Spizzirri, Vincenzo Napolitano, Barbara Rossetti, Pamela Delmonaco, Carla Migliaccio, Roberto Cirocchi, Giammario Giustozzi and Address: Department of General and Emergency Surgery, S. Maria Hospital, Terni-University of Perugia, Italy * Corresponding author from XXI Annual Meeting of The Italian Society of Geriatric Surgery Terni, Italy.

Results

Conclusion