Recurrent advanced colonic cancer occurring 11 years after initial endoscopic piecemeal resection: a case report

<p>Abstract</p> <p>Background</p> <p>The high frequency of local recurrence occurring after endoscopic piecemeal resection (EPMR) for large colorectal tumors is a serious problem. However, almost all of these cases of local recurrence can be detected within 1 year and cured by additional endoscopic resection. We report a rare case of recurrent advanced colonic cancer diagnosed 11 years after initial EPMR treatment.</p> <p>Case presentation</p> <p>A 65-year-old male was diagnosed with a sigmoid colon lesion following a routine health check-up. Total colonoscopy revealed a 12 mm type 0-Is lesion in the sigmoid colon, which was diagnosed as an adenoma or intramucosal cancer and treated by EPMR in 1996. The post-resection defect was closed completely using metallic endoclips to avoid delayed bleeding. In 2007, at the third follow up, colonoscopy revealed a 20 mm submucosal tumor (SMT) like recurrence at the site of the previous EPMR. The recurrent lesion was treated by laparoscopic assisted sigmoidectomy with lymph node dissection.</p> <p>Conclusion</p> <p>When it is difficult to evaluate the depth and margins of resected tumors following EPMR, it is important that the defect is not closed in order to avoid tumor implantation, missing residual lesions and to enable earlier detection of recurrence. It is crucial that the optimal follow-up protocol for EPMR cases is clarified, particularly how often and for how long they should be followed.</p

Isolation and characterization of Neisseria musculi sp. nov., from the wild house mouse

Neisseria have been isolated from or detected in a wide range of animals, from nonhuman primates and felids to a rodent, the guinea pig (Liu et al., 2015). By means of selective culture, biochemical testing, Gram staining and PCR screening for the Neisseria-specific Internal Transcribed Spacer region of the rRNA operon, we isolated four strains of Neisseria from the oral cavity of the wild house mouse, Mus musculus subspecies domesticus. The isolates are highly related and form a separate clade in the genus, as judged by rMLST and core gene tree analyses. One isolate, provisionally named Neisseria musculi sp. nov. (type strain AP2031T = DSM 101846T = CCUG 68283T = LMG 29261T), was studied further. AP2031/N. musculi grows well in vitro. It is naturally competent, taking up DNA in a DUS and pilT-dependent manner, and is amenable to genetic manipulation. These and other genomic attributes of N. musculi make it an ideal candidate for use in developing a mouse model for studying Neisseria-host interactions

Isolation and characterization of Neisseria musculi sp. nov., from the wild house mouse

Neisseria have been isolated from or detected in a wide range of animals, from nonhuman primates and felids to a rodent, the guinea pig (Liu et al., 2015). By means of selective culture, biochemical testing, Gram staining and PCR screening for the Neisseria-specific Internal Transcribed Spacer region of the rRNA operon, we isolated four strains of Neisseria from the oral cavity of the wild house mouse, Mus musculus subspecies domesticus. The isolates are highly related and form a separate clade in the genus, as judged by rMLST and core gene tree analyses. One isolate, provisionally named Neisseria musculi sp. nov. (type strain AP2031T = DSM 101846T = CCUG 68283T = LMG 29261T), was studied further. AP2031/N. musculi grows well in vitro. It is naturally competent, taking up DNA in a DUS and pilT-dependent manner, and is amenable to genetic manipulation. These and other genomic attributes of N. musculi make it an ideal candidate for use in developing a mouse model for studying Neisseria-host interactions

Isolation and characterization of a new species of Neisseria, Neisseria musculi, from the wild house mouse

Neisseria have been isolated from or detected in a wide range of animals, from nonhuman primates and felids to a rodent, the guinea pig (Liu et al., 2015). By means of selective culture, biochemical testing, Gram staining and PCR screening for the Neisseria-specific Internal Transcribed Spacer region of the rRNA operon, we isolated four strains of Neisseria from the oral cavity of the wild house mouse, Mus musculus subspecies domesticus. The isolates are highly related and form a separate clade in the genus, as judged by rMLST and core gene tree analyses. One isolate, provisionally named Neisseria musculi sp. nov. (type strain AP2031T = DSM 101846T = CCUG 68283T = LMG 29261T), was studied further. AP2031/N. musculi grows well in vitro. It is naturally competent, taking up DNA in a DUS and pilT-dependent manner, and is amenable to genetic manipulation. These and other genomic attributes of N. musculi make it an ideal candidate for use in developing a mouse model for studying Neisseria-host interactions