Is endoscopic ultrasonography essential for endoscopic resection of small rectal neuroendocrine tumors?

Abstract:

AIM:To evaluate the importance of endoscopic ultrasonography (EUS) for small (≤ 10 mm) rectal neuroendocrine tumor (NET) treatment. METHODS:Patients in whom rectal NETs were diagnosed by endoscopic resection (ER) at the Pusan National University Yangsan Hospital between 2008 and 2014 were included in this study. A total of 120 small rectal NETs in 118 patients were included in this study. Histologic features and clinical outcomes were analyzed, and the findings of endoscopy, EUS and histology were compared. RESULTS:The size measured by endoscopy was not significantly different from that measured by EUS and histology (r = 0.914 and r = 0.727 respectively). Accuracy for the depth of invasion was 92.5% with EUS. No patients showed invasion of the muscularis propria or metastasis to the regional lymph nodes. All rectal NETs were classified as grade 1 and demonstrated an L-cell phenotype. Mean follow-up duration was 407.54 ± 374.16 d. No patients had local or distant metastasis during the follow-up periods. CONCLUSION:EUS is not essential for ER in the patient with small rectal NETs because of the prominent morphology and benign behavior.

journal_name

World J Gastroenterol

authors

Park SB,Kim DJ,Kim HW,Choi CW,Kang DH,Kim SJ,Nam HS

doi

10.3748/wjg.v23.i11.2037

subject

Has Abstract

pub_date

2017-03-21 00:00:00

pages

2037-2043

issue

11

eissn

1007-9327

issn

2219-2840

journal_volume

23

pub_type

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