Carcinoid Tumors of the Rectum Experience with 26 Cases

Hanley, Patrick H.; Hines, Merrill O.; Ray, John E.; Armstrong, Raul A.

doi:10.1177/00359157590520s156

Cited by 2 publications

(3 citation statements)

References 8 publications

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“…The carcinoid syndrome consists of cutaneous flushing, gut hypermotility with diarrhea, and bronchospasm. [1][2][3][4][5] Our patient did not have the full range of these symptoms. However, the presentation of carcinoid tumors varies broadly depending on the location, morphology, or biology of the tumor.…”

Section: Rectal Carcinoidmentioning

confidence: 99%

“…8 Rectal carcinoid tumors have a characteristic feel on digital examination, with a hard, "buckshot" consistency, and are freely mobile. 5 They have also been described as firm, nodular, rubbery, yellow, submucosal, and polypoid. 8 ■ WhErE dO carcINOId tuMOrS tENd tO arISE?…”

Section: Rectal Carcinoidmentioning

confidence: 99%

“…Early research categorized rectal carcinoid risk in terms of tumor diameter, and this is still widely used to guide management. As early as 1959, Hanley et al 5 recognized that tumors that were likely to metastasize were often larger than 1 cm, had infiltrated the muscularis, or were ulcerated. Today, it is understood that only 3% to 10% of rectal carcinoids smaller than 1 cm metastasize, whereas 17% to 42% of those 1 to 2 cm and 60% to 80% of those larger than 2 cm do.…”

Section: ■ Prognosis Depends On Tumor Size Other Factorsmentioning

confidence: 99%

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A 31-year-old man with abdominal pain and a rectal nodule

Chu

Isaacson

2011

CCJM

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Section: Rectal Carcinoidmentioning

confidence: 99%

Section: Rectal Carcinoidmentioning

confidence: 99%

Section: ■ Prognosis Depends On Tumor Size Other Factorsmentioning

confidence: 99%

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A 31-year-old man with abdominal pain and a rectal nodule

Chu

Isaacson

2011

CCJM

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Rectal carcinoids

Jetmore¹,

Ray²,

Gathright³

et al. 1992

Diseases of the Colon &Amp; Rectum

212

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One hundred seventy patients with gastrointestinal carcinoid tumors were treated at Ochsner Clinic from 1958 to 1990. Ninety-four rectal carcinoid tumors were diagnosed and treated during this time. Carcinoid tumors of the rectum represented the most frequent primary site (55 percent), followed by carcinoids of the ileum (12 percent), appendix (12 percent), colon (6 percent), stomach (6 percent), jejunum (2 percent), pancreas (2 percent), and other (5 percent). One-half of rectal carcinoids were discovered during anorectal examination of asymptomatic patients. The remainder were found primarily by examination of patients for symptoms of benign anorectal conditions. The diagnosis of rectal carcinoid was made at the time of initial examination in 61 patients. This allowed definitive treatment in a single session by local excision and fulguration in 48 patients. The remainder were treated by repeat biopsy and fulguration (25 patients) or by transanal excision (12 patients). Overall, 85 carcinoid tumors of the rectum measuring less than 2 cm were treated by local excision and fulguration or by transanal excision, with an average five-year follow-up. There were no local recurrences. Ten patients with metastasizing rectal carcinoids averaging 4 cm were treated. All were symptomatic at presentation and fared poorly despite radical surgery. Three were alive at three years but only one survived five years. At our institution, rectal carcinoids were the most frequently detected carcinoid tumor. Small carcinoids of the rectum were adequately treated by local excision and fulguration or by transanal excision, with no local recurrence. The true incidence of rectal carcinoids is detected only with careful and complete rectal examination of the asymptomatic screening population by experienced surgeons. With more widespread screening of the well population, rectal carcinoids may become recognized as the most frequent human carcinoid tumor.

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Carcinoid Tumors of the Rectum Experience with 26 Cases

Cited by 2 publications

References 8 publications

A 31-year-old man with abdominal pain and a rectal nodule

A 31-year-old man with abdominal pain and a rectal nodule

Rectal carcinoids

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