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Atypical endoscopic features can be associated with metastasis in rectal carcinoid tumors

Cited 17 time in Web of Science Cited 21 time in Scopus
Authors
Kim, Byung Nyun; Sohn, Dae Kyung; Hong, Chang Won; Han, Kyung Su; Chang, Hee Jin; Jung, Kyung Hae; Lim, Seok-Byung; Choi, Hyo Seong; Jeong, Seung-Yong; Park, Jae-Gahb
Issue Date
2008-06-24
Publisher
Springer Verlag
Citation
Surg Endosc. 2008 ;22(9):1992-6.
Keywords
AdultAgedBone Neoplasms/secondaryCarcinoid Tumor/pathology/*secondary/surgery*ColonoscopyColorFemaleHumansHyperemia/etiologyIntestinal Mucosa/pathologyLiver Neoplasms/secondaryLymphatic MetastasisMaleMiddle AgedNeoplasm InvasivenessRectal Neoplasms/*pathology/surgeryRetrospective Studies*SigmoidoscopySurface PropertiesTumor BurdenUlcer/pathology
Abstract
BACKGROUND: Endoscopically, rectal carcinoids have a variety of sizes and features which may assist in determining treatment plans. The present study was performed to assess the relationship between endoscopic features and metastasis in rectal carcinoids. METHODS: A total of 115 rectal carcinoids of 112 patients with rectal carcinoids were enrolled, and the medical records were retrospectively reviewed. All tumors were classified according to size (longest diameter), and then according to endoscopic features such as shape, color, and surface changes including depressions, erosion, and ulceration. The relationship between endoscopic features and metastasis was evaluated. RESULTS: 11 cases (9.6%) of the 115 rectal carcinoids presented with metastatic disease. Tumor size was associated with metastasis (p < 0.001). Endoscopic features associated with metastasis were tumor shape, surface change, and color (p < 0.001). Atypical endoscopic features occurred more frequently as the size of the tumor increased (p < 0.001). For tumors 10-19 mm in diameter, atypical surface change was associated with metastasis (p = 0.007). CONCLUSIONS: Endoscopic features were found to be associated with metastasis in rectal carcinoids. In particular, atypical surface change may be useful in determining treatment plans for tumors 10-19 mm in diameter.
ISSN
1432-2218 (Electronic)
0930-2794 (Print)
Language
English
URI
http://hdl.handle.net/10371/62700
DOI
https://doi.org/10.1007/s00464-008-0006-x
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College of Medicine/School of Medicine (의과대학/대학원)Surgery (외과학전공)Journal Papers (저널논문_외과학전공)
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