scholarly journals A CASE OF A RECTAL CARCINOID TUMOR WITH SOLITARY RECURRENCE TO THE RIGHT LATERAL LYMPH NODE PERFORMED TRANS-SACRAL EXTIRPATION AFTER SYSTEMIC CHEMOTHERAPY

2005 ◽  
Vol 66 (12) ◽  
pp. 3011-3014 ◽  
Author(s):  
Masaomi ICHINOKAWA ◽  
Yutaka NAKAMURA ◽  
Yoshihiro MAEYAMA ◽  
Hiroto MANASE ◽  
Kouji TAIRA ◽  
...  
2009 ◽  
Vol 62 (3) ◽  
pp. 180-184 ◽  
Author(s):  
Koji Yamaguchi ◽  
Takayuki Morita ◽  
Keisuke Okamura ◽  
Takeshi Kawamura ◽  
Shoichi Horita

2000 ◽  
Vol 33 (6) ◽  
pp. 755-759 ◽  
Author(s):  
Tsuyoshi Igami ◽  
Hiroshi Hasegawa ◽  
Seiji Ogiso ◽  
Masaya Shiomi ◽  
Masato Momiyama ◽  
...  

Endoscopy ◽  
2008 ◽  
Vol 40 (S 02) ◽  
pp. E40-E41 ◽  
Author(s):  
T. Shinohara ◽  
K. Hotta ◽  
T. Oyama

2009 ◽  
Vol 42 (6) ◽  
pp. 696-701 ◽  
Author(s):  
Shigeyoshi Yamanaga ◽  
Hiroshi Yokomizo ◽  
Michio Hifumi ◽  
Toshimi Satou ◽  
Kouji Hayashi ◽  
...  

2012 ◽  
Vol 30 (4_suppl) ◽  
pp. 440-440
Author(s):  
Yi-Zarn Wang ◽  
Michael Anthony Hall

440 Background: The optimal treatment option for rectal carcinoid tumor remains unsettled. Trans-anal excision has been accepted for small tumors (< 1-2 cm in size) without lymph node involvement. Larger tumors, and those with lymph node metastasis, however, are usually treated via low anterior resection (LAR) with total mesorectal excision (TME). Midgut carcinoid tumors have been found to have the tendency to obstruct lymphatic flow and create a detour in lymphatic passage. We hypothesize that rectal carcinoid may have similar potential to develop alternative lymphatic pathways outside of the mesorectal envelope, thus escaping surgical removal with traditional TME. Methods: A retrospective chart review of rectal carcinoid patients who underwent radical LAR with TME between 2006 and 2011 was conducted to determine if any extra-mesorectal metastasis had occurred. Results: 19 patients who underwent LAR with TME for rectal carcinoid were identified. 14 patients had radio-guided surgery (RGS). 12 of which, were injected with TC-99 intra-operatively and 2 had a preoperative injection of In-111 for octreotide scan. 6 of the 19 patients (31.5%) were found to have obturator canal lymph node metastasis, confirmed by final pathologic review. 5 of these 6 patients had the nodal metastasis to the right obturator canal. Of note, 4 of the 6 patients complained of debilitating foot and medial thigh pain on the affected side, with complete symptom resolution after surgical excision. Conclusions: Up to 31.5% of rectal carcinoid patients can have extra-mesorectal lymph node metastasis that could easily be missed by the traditional TME. Preoperative octreotide scanning with In-111 injection or intra-operative Tc-99 peri-tumor injection, with concomitant RGS can easily identify and remove such metastasis. Symptomatic improvement can be accomplished with its removal. The effect of such extra-mesorectal metastasis on patients’ long term or disease free survival is yet to be determined.


2019 ◽  
Vol 39 (2) ◽  
pp. 184-189
Author(s):  
Charlene Viana ◽  
Isabel Marques ◽  
Adriano Staubus ◽  
Sandra F. Martins

2015 ◽  
Vol 30 (3) ◽  
pp. 389
Author(s):  
Sang Ouk Chin ◽  
Jin-Kyung Hwang ◽  
Sang Youl Rhee ◽  
Suk Chon ◽  
Seungjoon Oh ◽  
...  

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