Multiple Rectal Neuroendocrine Tumors: Report of Five Cases.
10.4166/kjg.2014.64.2.103
- Author:
Chan Seo PARK
1
;
Si Hyung LEE
;
Sung Bum KIM
;
Kyeong Ok KIM
;
Byung Ik JANG
Author Information
1. Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea. dr9696@nate.com
- Publication Type:Case Reports
- Keywords:
Multicentricity;
Rectum;
Neuroendocrine tumors
- MeSH:
Adult;
Aged;
Colonoscopy;
Female;
Humans;
Male;
Middle Aged;
Neuroendocrine Tumors/*diagnosis/pathology/surgery;
Positron-Emission Tomography;
Rectal Neoplasms/*diagnosis/pathology/surgery;
Sigmoidoscopy;
Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology
2014;64(2):103-109
- CountryRepublic of Korea
- Language:English
-
Abstract:
Carcinoids are slow growing neuroendocrine tumors (NET) originating in the enterochromaffin cells of the gastrointestinal tract. In previous studies, rectal NET comprised only about 1% of all anorectal neoplasms; however, the incidence of rectal NET has shown a recent increase. Typically, rectal NET presents as a single subepithelial nodule, and multicentricity of rectal NETs is rare, with reported incidence of 2-4.5%. Due to the rarity of multiple rectal NETs, there is no consensus or guidelines for treatment of multiple rectal NETs. However, NETs of the rectum that are less than 10 mm in diameter and do not infiltrate the muscularis propria, without distant metastasis, can be removed by endoscopy, as with solitary rectal NET. We encountered five cases of multiple rectal NETs which were treated successfully by endoscopy.