COULD THE ENDOSCOPIC RESECTION OF A LARGE RECTAL LEIOMYOMA BE AN EFFETCIVE AND SAFE TECHNIQUE?

Francesco Cappello, Giovanni Tomasello, Francesco Carini, Dario Raimondo, Giancarlo Pompei, Aroldo Gabriele Rizzo, Emanuele Sinagra, Marco Messina, Marco Calvaruso, Georgios Amvrosiadis, Gaetano Cristian Morreale, Guido Martorana, Francesca Rossi, Stefano Mandalà, Massimo Menozzi, Cappello Francesco, Giovanni Tomasello

Risultato della ricerca: Article

Abstract

Summary. Rectal leiomyomas are a rare conditions, with low reported incidence in literature and constituteabout 0.1% of rectal tumours; in fact rectal leiomyomas occur in approximately 1 out of 2000-3000 rectaltumors. We report on a patient with a 3 cm semi-pedunculated colonic leiomyoma, which was successfullyremoved by endoscopic polypectomy after normal saline-epinephrine submucosal injection. When we encountera tumor during a colonoscopic examination, we usually evaluate the tumor carefully and perform anendoscopic resection when we judge it is appropriate. When a symptomatic smooth muscle tumors smallerthan 2 cm are incidentally found on colonoscopy, surgical resection is unnecessary. Furthermore, if a tumorcan be lifted with a snare and it is either pedunculated or semi-pedunculated, endoscopic resection might be asafe option. For those tumors with wide-based or exoluminal growth, endoscopic removal should be avoideddue to the higher risks of bleeding and perforation. The histological findings of the resected tumor are important.If there is any malignant element that can not be completely eradicated, we would suggest surgicaltreatment. We believe our process allows to avoid unnecessary surgery and reduces medical costs.
Lingua originaleEnglish
pagine (da-a)223-226
Numero di pagine4
RivistaDefault journal
Volume21
Stato di pubblicazionePublished - 2016

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Leiomyoma
Neoplasms
Smooth Muscle Tumor
Unnecessary Procedures
Colonoscopy
Rectal Neoplasms
Epinephrine
Hemorrhage
Costs and Cost Analysis
Injections
Incidence
Growth

All Science Journal Classification (ASJC) codes

  • Oncology

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COULD THE ENDOSCOPIC RESECTION OF A LARGE RECTAL LEIOMYOMA BE AN EFFETCIVE AND SAFE TECHNIQUE? / Cappello, Francesco; Tomasello, Giovanni; Carini, Francesco; Raimondo, Dario; Pompei, Giancarlo; Rizzo, Aroldo Gabriele; Sinagra, Emanuele; Messina, Marco; Calvaruso, Marco; Amvrosiadis, Georgios; Morreale, Gaetano Cristian; Martorana, Guido; Rossi, Francesca; Mandalà, Stefano; Menozzi, Massimo; Francesco, Cappello; Tomasello, Giovanni.

In: Default journal, Vol. 21, 2016, pag. 223-226.

Risultato della ricerca: Article

Cappello, F, Tomasello, G, Carini, F, Raimondo, D, Pompei, G, Rizzo, AG, Sinagra, E, Messina, M, Calvaruso, M, Amvrosiadis, G, Morreale, GC, Martorana, G, Rossi, F, Mandalà, S, Menozzi, M, Francesco, C & Tomasello, G 2016, 'COULD THE ENDOSCOPIC RESECTION OF A LARGE RECTAL LEIOMYOMA BE AN EFFETCIVE AND SAFE TECHNIQUE?', Default journal, vol. 21, pagg. 223-226.
Cappello, Francesco ; Tomasello, Giovanni ; Carini, Francesco ; Raimondo, Dario ; Pompei, Giancarlo ; Rizzo, Aroldo Gabriele ; Sinagra, Emanuele ; Messina, Marco ; Calvaruso, Marco ; Amvrosiadis, Georgios ; Morreale, Gaetano Cristian ; Martorana, Guido ; Rossi, Francesca ; Mandalà, Stefano ; Menozzi, Massimo ; Francesco, Cappello ; Tomasello, Giovanni. / COULD THE ENDOSCOPIC RESECTION OF A LARGE RECTAL LEIOMYOMA BE AN EFFETCIVE AND SAFE TECHNIQUE?. In: Default journal. 2016 ; Vol. 21. pagg. 223-226.
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abstract = "Summary. Rectal leiomyomas are a rare conditions, with low reported incidence in literature and constituteabout 0.1{\%} of rectal tumours; in fact rectal leiomyomas occur in approximately 1 out of 2000-3000 rectaltumors. We report on a patient with a 3 cm semi-pedunculated colonic leiomyoma, which was successfullyremoved by endoscopic polypectomy after normal saline-epinephrine submucosal injection. When we encountera tumor during a colonoscopic examination, we usually evaluate the tumor carefully and perform anendoscopic resection when we judge it is appropriate. When a symptomatic smooth muscle tumors smallerthan 2 cm are incidentally found on colonoscopy, surgical resection is unnecessary. Furthermore, if a tumorcan be lifted with a snare and it is either pedunculated or semi-pedunculated, endoscopic resection might be asafe option. For those tumors with wide-based or exoluminal growth, endoscopic removal should be avoideddue to the higher risks of bleeding and perforation. The histological findings of the resected tumor are important.If there is any malignant element that can not be completely eradicated, we would suggest surgicaltreatment. We believe our process allows to avoid unnecessary surgery and reduces medical costs.",
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AU - Cappello, Francesco

AU - Tomasello, Giovanni

AU - Carini, Francesco

AU - Raimondo, Dario

AU - Pompei, Giancarlo

AU - Rizzo, Aroldo Gabriele

AU - Sinagra, Emanuele

AU - Messina, Marco

AU - Calvaruso, Marco

AU - Amvrosiadis, Georgios

AU - Morreale, Gaetano Cristian

AU - Martorana, Guido

AU - Rossi, Francesca

AU - Mandalà, Stefano

AU - Menozzi, Massimo

AU - Francesco, Cappello

AU - Tomasello, Giovanni

PY - 2016

Y1 - 2016

N2 - Summary. Rectal leiomyomas are a rare conditions, with low reported incidence in literature and constituteabout 0.1% of rectal tumours; in fact rectal leiomyomas occur in approximately 1 out of 2000-3000 rectaltumors. We report on a patient with a 3 cm semi-pedunculated colonic leiomyoma, which was successfullyremoved by endoscopic polypectomy after normal saline-epinephrine submucosal injection. When we encountera tumor during a colonoscopic examination, we usually evaluate the tumor carefully and perform anendoscopic resection when we judge it is appropriate. When a symptomatic smooth muscle tumors smallerthan 2 cm are incidentally found on colonoscopy, surgical resection is unnecessary. Furthermore, if a tumorcan be lifted with a snare and it is either pedunculated or semi-pedunculated, endoscopic resection might be asafe option. For those tumors with wide-based or exoluminal growth, endoscopic removal should be avoideddue to the higher risks of bleeding and perforation. The histological findings of the resected tumor are important.If there is any malignant element that can not be completely eradicated, we would suggest surgicaltreatment. We believe our process allows to avoid unnecessary surgery and reduces medical costs.

AB - Summary. Rectal leiomyomas are a rare conditions, with low reported incidence in literature and constituteabout 0.1% of rectal tumours; in fact rectal leiomyomas occur in approximately 1 out of 2000-3000 rectaltumors. We report on a patient with a 3 cm semi-pedunculated colonic leiomyoma, which was successfullyremoved by endoscopic polypectomy after normal saline-epinephrine submucosal injection. When we encountera tumor during a colonoscopic examination, we usually evaluate the tumor carefully and perform anendoscopic resection when we judge it is appropriate. When a symptomatic smooth muscle tumors smallerthan 2 cm are incidentally found on colonoscopy, surgical resection is unnecessary. Furthermore, if a tumorcan be lifted with a snare and it is either pedunculated or semi-pedunculated, endoscopic resection might be asafe option. For those tumors with wide-based or exoluminal growth, endoscopic removal should be avoideddue to the higher risks of bleeding and perforation. The histological findings of the resected tumor are important.If there is any malignant element that can not be completely eradicated, we would suggest surgicaltreatment. We believe our process allows to avoid unnecessary surgery and reduces medical costs.

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