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조기 대장암의 국소 절제술 치료

Local Resection for Treatment of Early Colorectal Cancer

대한대장항문학회지 2004년 20권 6호 p.399 ~ 404
이은정 ( Lee Eun-Joung ) - 이화여자대학교 의과대학 외과학교실

정순섭 ( Chung Soon-Sup ) - 이화여자대학교 의과대학 외과학교실
이령아 ( Lee Ryung-Ah ) - 이화여자대학교 의과대학 외과학교실
이석환 ( Lee Seok-Hwan ) - 경희대학교 의과대학 외과학교실
김광호 ( Kim Kwang-Ho ) - 이화여자대학교 의과대학 외과학교실
박응범 ( Park Eung-Bum ) - 이화여자대학교 의과대학 외과학교실

Abstract


Purpose: Early colorectal cancer is defined as invasive tumor, limited to the mucosa or submucosa. The incidence of early colorectal cancer detection has been increased due to well designed screening technology and development of colonoscopy. The novel treatment of early colorectal cancer is still not settled despite of this advancement. We performed retrospective study about outcomes of colorectal cancer after radical resection or local resection.

Methods: Sixty two patients, diagnosed as early colorectal cancers by pathology, were selected for this case study. The hospital records were reviewed retrospectively and the following was found: Twenty four patients received local resection such as colonoscopic polypectomy or local resection of colon. Remaining thirty-eight patients received radical resection. The clinicopathologic features of two groups were analyzed statically and survival rate was compared.

Results: The clinical features were similar between two groups including sex, age, stage, tumor size and differentiation. The median follow-up duration was 47.3 months (range: 2~152 months). Survival rate was not different according to resection type. Recurrent cases were one patient from each group. They were all submucosal tumors.

Conclusions: The local resection is safe treatment modality for early colorectal cancer. However, case selection for local resection should be cautious because submucosal cases have more recurrent potential. Longterm follow-up will be needed to achieve safety of early colorectal cancer. J Korean Soc Coloproctol 2004;20:399-404

키워드

조기 대장암;국소 절제술;근치적 절제술
Early colorectal cancer;Local resection;Radical resection
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