Association between neuroendocrine tumor of the ileum and two colonic primary malignancies. A case report and review of literature.

Abstract:

BACKGROUND:A high rate of association between neuroendocrine tumors (NETs) and secondary primary malignancy (SPM) has been described in literature and this association can occur either in a synchronous or a metachronous presentation. A wide range of hypothesis has been postulated to explain the high rate of association between NETs and SPM, without definitive conclusions. CASE PRESENTATION:We report a case of an ileal neuroendocrine tumor found incidentally at the histologic examination of the surgical specimen in a 72 years old male underwent to right hemi colectomy for two colic adenomatous polips with high grade dysplasia. CONCLUSION:Large multicentric epidemiological studies should be considered to assess the association between NETs and SPM. KEY WORDS:Neuroendocrine tumors (NETs), Progression-Free Survival (PFS), Secondary primary malignancy (SPM). :In letteratura sono stati riportati alcuni casi di associazione tra tumori neuroendocrini (NETs) ed un secondo o più tumori primitivi (SPM). Quest’associazione può presentarsi sia in maniera sincrona che metacrona. Dal punto di vista eziopatogenetico sono state fatte molteplici ipotesi, senza alcuna conclusione definitiva. L’ipotesi più accreditata sostiene l’insorgenza di un secondo tumore in seguito al ruolo carcinogenetico svolto dai peptidi rilasciati dal tumore neuroendocrino Noi riportiamo il caso di un tumore neuroendocrino ileale scoperto incidentalmente all’esame istologico del pezzo operatorio di un uomo di 72 anni sottoposto ad emicolectomia destra per la presenza di due polipi adenomatosi del colon destro con alto grado di displasia. Dovrebbero essere considerati ampi studi epidemiologici multicentrici per caratterizzare meglio e spiegare le cause patogenetiche dell’associazione tra NET ed SPM.

journal_name

Ann Ital Chir

authors

Napolitano L,D'Alessandro V,Risio D,Marinelli C,Cianci R,Innocenti P

subject

Has Abstract

pub_date

2017-10-04 00:00:00

eissn

0003-469X

issn

2239-253X

pii

S2239253X17024847

journal_volume

6

pub_type

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