Yamaguchi Medical Journal
Online ISSN : 1880-4462
Print ISSN : 0513-1731
ISSN-L : 0513-1731
Case Reports
A Case of 17 Years Old Boy Who Was Performed Trans Anal Resection for Rectal Serrated Adenoma
Haruko TANIMOTO, Kazunari MAEDA, Jun NISHIKAWA, Shinichi HASHIMOTO, Keiko SUZUKI, Kouichi HAMABE, Mari SAITO, Shu KIYOTOKI, Takeshi OKAMOTO, Yuusaku WATANABE, Masahito TSUTSUI, Shouichi HAZAMA, Masaaki OKA, Shigeto KAWAUCHI, Isao SAKAIDA
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2011 Volume 60 Issue 1+2 Pages 11-16

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Abstract
A 17-year-old man was seen at the medical clinic because of suffering from hematochezia for 7 years. Colonoscopy showed a white granular tumor occuping almost all round of the anal verge. Biopsy revealed serrated adenoma (SA). Abdominal CT and PET revealed no metastatic lesions. CEA and CA19-9 were negative. The SA was localized on lower rectum, so transanal submucosal dissection was performed. Pathologocal diagnosis was SA with moderate grade dysplasia in the mucosal layer. The tumor margin was enough. The patient was discharge 8 days after the surgery. Transanal resection of juvenile SA on the lower rectum, which was very rare, was performed, considering the function of the anus.
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