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Potential problems of partial resection for colitis-associated cancer in a patient with ulcerative colitis: case
Yuki Horio1, Motoi Uchino1, Takako Kihara2
1Department of Inflammatory Bowel Disease Surgery, Hyogo College of Medicine, Hyogo, Japan.
Abstract:
Total proctocolectomy and an ileal pouch-anal anastomosis are recommended as the standard procedure for ulcerative colitis (UC)-colitis-associated cancer (CAC). However, several studies have reported the partial colectomy and endoscopic resection of UC-CAC in recent years. We present a surgical case of UC-CAC that was detected at a site that had not been diagnosed preoperatively, and we report potential problems of partial colectomy and endoscopic resection through this case. Considerations of synchronous and metachronous cancer/dysplasia are important before partial resection is planned for CAC in UC. Moreover, it should be noted that endoscopic resection at the anal site can be a risk factor for pouch surgery failure due to fibrosis after resection.
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