Management of sub-5 mm rectal carcinoids with lymph node metastases
- Toh, James (R18615)
- Henderson, Christopher
- Yabe, Takako E.
- Ong, Evonne
- Chapuis, Pierre H.
- Bokey, Leslie (R16630)
DOIAbstract
Minute (<5mm) and small (5–10mm) rectal carcinoids discovered during colonoscopy are generally considered to be non-aggressive, and the management and surveillance of patients with this entity are usually limited. We present the case of a 61-year-old Chinese female with multiple sub-5mmcarcinoid tumours in the rectum without any computed tomography (CT) evidence of lymph node or distant metastases. She underwent an ultra-low anterior resection for a sessile rectal polyp with the histological appearance of a moderately differentiated adenocarcinoma. Seven foci of minute carcinoids in the rectum and perirectal lymph node metastastic spread from the carcinoid tumours were also discovered on histopathology. There were no lymph node metastases o...
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