| Cancer Cell Seeding by Tattooing for Tumor Localization before Laparoscopic Lower Anterior Resection |
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Hyong Ju Kang, Bo In Lee, Byung Wook Kim, Hwang Choi, Se Hyun Cho, Kyu Yong Choi, Hiun Suk Chae, Seok Won Han, In Sik Chung, Kyoung Mee Kim |
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Departments of Internal Medicine and Clinical Pathology, The Catholic University of Korea, Incheon, Korea
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| 복강경하 저위전방절제술 전 병소위치 표시를 위한 점묵으로 파종된 직장암 1예 |
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강형주, 이보인, 김병욱, 최황, 조세현, 최규용, 채현석, 한석원, 정인식, 김경미 |
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가톨릭대학교 의과대학 내과학교실, 임상병리학교실 |
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| Abstract |
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Endoscopic mucosal resection is accepted standard treatment of early gastrointestinal cancer, defined as cancer with involvement confined to the mucosa without lymph node metastasis. Under the therapeutic endoscopy, submucosal saline injection minimize the risks of transmural burn, perforation, bleeding. As laparoscopic colectomy became popular recently, colonoscopic tattooing of lesions to assist for localization in surgical field is in the spotlight. Four submucosal saline injections around the lesion, performed with an injection needle to test for the possibility of EMR, showed an obvious 'non-lifting sign'. Therefore we performed endoscopic tattooing, and then experienced tumor cell seeding on tattooing site. Manipulation of cancerous tissue with submucosal saline injection or tattooing can have a risk of tumor cell seeding on injection sites at any time. Furthermore, if bowel wall is perforated, peritoneal metastasis or seeding are possible. In this case, we approached and injected saline carefully for prevention of cancer penetration. (Intestinal Research 2005;3:150-153) |
| Key Words:
Endoscopic mucosal resection, Tattooing, Seeding, Cancer |
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