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ENDOSCOPIC INTERMUSCULAR DISSECTION (EID) FOR RECTAL CANCER
Shaimaa Elkholy^*1, Karim Essam¹, Abeer A. Abdellatef¹, Kerolis Yousef¹, Hany Haggag¹, Hussein H. Okasha¹, Ahmed H. Rashad¹, Mohamed Nabil Alkady¹, Mohamed Abdel Zaher¹, Mostafa Kabeel², Dalia Abd El-Kareem¹, Sara Shaban³, Mohamed El-Sherbiny^1
1Cairo University Kasr Alainy Faculty of Medicine, Cairo, Egypt; ²Al-Azhar University Faculty of Medicine, Nasr City, Cairo, Egypt; ³Ahmed Maher Teaching Hospital, Cairo, Egypt

We present here a 62-year-old female patient with advanced T2N0 anorectal lesion for which she received chemotherapy causing down staging of the lesion to T1 NO. After neoadjuvant therapy the patient was referred to us for possibility of endoscopic resection as she was refusing surgery. We did EID (endoscopic intermuscular dissection) & the lesion was removed enbloc. The pathology showed intramucosal cancer, no lymphovascular invasion or perineural invasion. EID had been shown to gain interest in the last years in anorectal cancers. This technique should be selected for special type of patients. EID helps in organ preservation & improving the quality of life for the patients.

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