Endoscopic mucosal resection for rectal carcinoid tumors

VernacularTitle:内镜黏膜切除术治疗直肠类癌的价值评估
Author: Ye ZONG ; Ming JI ; Li YU ; Yinglin NIU ; Shutian ZHANG
Publication Type:Journal Article
Keywords: Carcinoid tumor; Rectum; Endoscopic mucosal resection
From: Chinese Journal of Digestive Endoscopy 2010;27(7):353-355
CountryChina
Language:Chinese
Abstract: Objective To evaluate the efficacy and safety of endoscopic mucosal resection (EMR) for rectal carcinoid tumors. Methods From January 2006 to January 2009, EMR was performed in 28 patients with rectal carcinoids, who were followed up to evaluate the therapeutic effect and safety. Results Tumor diameters varied from 0.4 cm to 1. 2 cm (mean 0.7± 0. 2 cm). Negative resection margin was a-chieved in 26 cases (92. 9% ), tumor margin within 0. 1 cm of resection margin in 1 (7. 1% ) , and two margins coincided in 1 patient (7. 1% ). Hemostasis was performed with metal clips in 14 patients (50% ) and argon plasma coagulation (APC) in 9 (32. 1% ). Except for rectal bleeding in 1 patient (3. 6% ) , no other complications were observed. There was no recurrence in any patients during a follow-up of 6-36 months. Conclusion EMR is a useful and safe method for treatment of small rectal carcinoid tumor which does not cross submucosal layer.