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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.6
- 수록면
- 281 - 286 (6page)
- DOI
- https://doi.org/10.3904/kjm.2019.94.3.281
이용수
초록· 키워드
오류제보하기
The incidence of rectal neuroendocrine tumors (NETs) has increased worldwide, including in Korea. Rectal NETs are usually single lesions, but synchronous multiple lesions are reported in 2-4.5% of patients. Small rectal NETs (≤ 10 mm) are usually confined to the submucosal layer and rarely give rise to lymph node or distant metastases. Here we describe the case of a 54-year-old woman referred to National Cancer Center for the management of two rectal subepithelial tumors. Because computed tomography revealed a small hepatic nodule suggesting atypical hemangioma rather than metastasis, endoscopic submucosal dissection was performed. However, the size of the nodules increased during follow-up. The pathologic results of a liver biopsy confirmed metastatic NET. This case was unusual in that synchronous small rectal NETs and distant liver metastasis occurred in the absence of any risk factors for metastasis. Thus, patients with rectal NETs should be carefully evaluated, especially for the possibility of metastasis.
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등록된 정보가 없습니다.
참고문헌 (10)
참고문헌 신청
Scherübl H / 2009 / Rectal carcinoids are on the rise : early detection by screening endoscopy / Endoscopy 41:162~165
Park CH / 2011 / Criteria for decision making after endoscopic resection of well-differentiated rectal carcinoids with regard to potential lymphatic spread / Endoscopy 43:790~795
Caplin M / 2012 / ENETS consensus guidelines for the management of patients with digestive neuroendocrine neoplasms : colorectal neuroendocrine neoplasms / Neuroendocrinology 95:88~97
de Mestier L / 2013 / Updating the management of patients with rectal neuroendocrine tumors / Endoscopy 45:1039~1046
Bosman FT / 2010 / WHO classification of tumours of the digestive system / IARC Press
Park CH / 2011 / Criteria for decision making after endoscopic resection of well-differentiated rectal carcinoids with regard to potential lymphatic spread / Endoscopy 43:790~795
Caplin M / 2012 / ENETS consensus guidelines for the management of patients with digestive neuroendocrine neoplasms : colorectal neuroendocrine neoplasms / Neuroendocrinology 95:88~97
de Mestier L / 2013 / Updating the management of patients with rectal neuroendocrine tumors / Endoscopy 45:1039~1046
Bosman FT / 2010 / WHO classification of tumours of the digestive system / IARC Press
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