Pseudoinvasion in an Adenomatous Polyp of the Colon Mimicking Invasive Colon Cancer

作者: Tae Jun Byun , Dong Soo Han , Sang Bong Ahn , Hyun Seok Cho , Chang Soo Eun

DOI: 10.5009/GNL.2009.3.2.130

关键词: Colorectal cancerSigmoid colonSegmental resectionEndoscopyAdenomatous polypsInvasive carcinomaEndoscopic ultrasonographyAdenomaPathologyMedicine

摘要: Pseudoinvasion or pseudocarcinomatous invasion in an adenomatous polyp of the colon can be unfamiliar to endoscopist. represents prolapse epithelium into its stalk. In most cases morphology does not differ from general polyps, but some it morphologically mimic a malignant with submucosal due mass-like lesioning This makes difficult for endoscopists differentiate pseudoinvasion adenoma invasive carcinoma by conventional endoscopy; instead, endoscopic ultrasonography provide useful information differentiating these conditions. We report on 82-year-old man who presented large pedunculated thick stalk sigmoid colon, which mimicked carcinoma. The patient was diagnosed after segmental resection colon.

参考文章(9)
Rhonda K. Yantiss, Marcus W. Bosenberg, Donald A. Antonioli, Robert D. Odze, Utility of MMP-1, p53, E-cadherin, and collagen IV immunohistochemical stains in the differential diagnosis of adenomas with misplaced epithelium versus adenomas with invasive adenocarcinoma. The American Journal of Surgical Pathology. ,vol. 26, pp. 206- 215 ,(2002) , 10.1097/00000478-200202000-00007
B. C. Morson, T. Muto, H. J. R. Bussey, Pseudo-carcinomatous invasion in adenomatous polyps of the colon and rectum Journal of Clinical Pathology. ,vol. 26, pp. 25- 31 ,(1973) , 10.1136/JCP.26.1.25
Tohru Tanizawa, Takayuki Seki, Makoto Nakano, Ryuichi Kamiyama, Pseudoinvasion of the colorectal polypoid tumors: serial section study of problematic cases. Pathology International. ,vol. 53, pp. 584- 590 ,(2003) , 10.1046/J.1440-1827.2003.01527.X
Ali H. Qizilbash, M. Meghji, M. Castelli, Pseudocarcinomatous invasion in adenomas of the colon and rectum. Diseases of The Colon & Rectum. ,vol. 23, pp. 529- 535 ,(1980) , 10.1007/BF02988988
Raquel E. Davila, Elizabeth Rajan, Douglas Adler, William K. Hirota, Brian C. Jacobson, Jonathan A. Leighton, Waqar Qureshi, Marc J. Zuckerman, Robert Fanelli, David Hambrick, Todd H. Baron, Douglas O. Faigel, ASGE guideline: the role of endoscopy in the diagnosis, staging, and management of colorectal cancer Gastrointestinal Endoscopy. ,vol. 61, pp. 1- 7 ,(2005) , 10.1016/S0016-5107(04)02391-0
Diana Molavi, Pedram Argani, Distinguishing benign dissecting mucin (stromal mucin pools) from invasive mucinous carcinoma. Advances in Anatomic Pathology. ,vol. 15, pp. 1- 17 ,(2008) , 10.1097/PAP.0B013E31815E52AA
Yojiro Sadamoto, Munehiro Tanaka, Ken-ichi Ito, Makoto Takahashi, Rie Yoshimura, Masaru Kubokawa, Naohiko Harada, Miyuki Takata, Masao Tanaka, Hajime Nawata, Colonic adenoma with pseudocarcinomatous invasion. Gastrointestinal Endoscopy. ,vol. 57, pp. 722- 722 ,(2003) , 10.1067/MGE.2003.196
T. Gotoda, T. Fujii, A. T. Axon, B. J. Rembacken, Endoscopic Mucosal Resection Endoscopy. ,vol. 33, pp. 709- 718 ,(2001) , 10.1055/S-2001-16224