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Rectal Carcinoid

Other Title
직장의 유암종
Authors
김, 욱환; 이, 건욱; 박, 재갑; 최, 국진; 김, 진복
Citation
Taehan Oekwa Hakhoe, 48(1):121-126, 1995
Journal Title
Taehan Oekwa Hakhoe; 대한외과학회지
ISSN
1226-0053
Abstract
Rectal carcinoid tumors present many difficulties for the surgeon to preserve anal function while their prognosis is generally favorable it known that about 15% of these tumors metastasize and many ultimately lead to the patient's death.

Seventeen

patients (M : F=8 : 9, mean age=48years) with rectal carcinoid tumor were treated at Seoul National University Hospital between 1981 and 1994. The most common symptoms were bowel habit changes. Asymptomatic tumors were discovered in three

patients.

There was no case in which the carcinoid syndrome was expressed. Size of rectal carcinoid tumor was less than 1 cm in 12 patients, between 1 cm and 2 cm in 4 patents, only in one case larger than 2 cm. Lever metastasis was found in one case. the

depth

of invasion of carcinoid was contained within submucosa in 7 cases. The most common treatment procedure was transanal excision which were performed in 5 cases. Abdominoperineal resection in 2 cases and sigmoidoscopic biopsy with laser coagulation

in 4

cases. We performed excisional procedures in cases of invasion of proper musclel. The prognosis was good except for one case in which the patent died of liver metastasis. There was no recurrence after resection. According to our experience of

carcinoid

tumors, treatment principles should be determined by the size of tumor and depths of invasion.
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Surgery
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