Korean Journal of Gastrointestinal Endoscopy 2001;23(3): 192-196.
다발성 직장 유암종 2 예 ( Two Cases of Multiple Carcinoid Tumors of the Rectum )
김우성(Woo Seong Kim),최세림(Se Lim Choi),송동주(Dong Ju Song),김만조(Man Jo Kim),이영석(Young Seok Lee),엄정섭(Jung Sup Eum),김은규(Eun Kyu Kim),박상제(Sang Je Park),박희승(Hee Seung Park),최성호(Seong Ho Choi)
Abstract
Carcinoid tumors of the rectum are relatively uncommon and comprise only about one percent of all rectal neoplasms. Typically, rectal carcinoids present as small, solitary submucosal nodules and have benign course. But, multicentricity is rare. The frequency of an associated second malignancy is about 13%. The explanation of the high frequency of other neoplasms associated with carcinoid tumors is still unclear. We have experienced two cases of multiple carcinoid tumors of the rectum, one was coexisted with adenocarcinoma of the sigmoid colon. They presented with mass on the right inguinal area and hematochezia. Carcnoids was found incidentally. Because the tumors measured 15 mm or less in diameter, did not infiltrate beyond the submucosal layer and had no histological atypia, carcinoids was treated by endoscopic polypectomy and mucosal resection. Thereafter, one underwent surgery for adenocarcinoma of the sigmoid colon. Herein we present our experience with reviewed literatures. (Korean J Gastrointest Endosc 2001;23:192-196)