Open Access, Peer-reviewed
pISSN 2288-6575
eISSN 2288-6796
    J Korean Surg Soc. 2009 Jan;76(1):1-6. Korean.
    Published online Jan 31, 2009.
    https://doi.org/10.4174/jkss.2009.76.1.1
    Copyright © 2009 The Korean Surgical Society
    Original Article

    Gastrointestinal Carcinoid Tumor: Clinical Review of 36 Cases

    Bong Su Kang, M.D. and Jong Woo Kim, M.D.
      • Department of Surgery, Bundang CHA Hospital, Pochon CHA University College of Medicine, Seongnam, Korea.
    • Email: kjw@cha.ac.kr
    Received June 12, 2008; Accepted September 11, 2008.

    Abstract

    Purpose

    The aim of this study is to analyze various clinical characteristics of gastrointestinal carcinoid tumors including their symptoms, diagnoses and treatment strategies.

    Methods

    Medical records of 36 cases of gastrointestinal carcinoid tumors diagnosed at Bundang CHA Hospital from March 2000 to February 2008 were reviewed and analyzed retrospectively.

    Results

    The mean age of patients at diagnosis was 50 years old. Frequent location of the tumors was as follows-rectum, duodenum, appendix, stomach, colon, and small bowel. The size of tumor varied and the mean size was measured 9.0 mm. Any specific symptoms did not arise nor were they detected among most of the patients at the time of diagnosis. Endoscopic resection of gastrointestinal carcinoid tumor was undergone in 27 cases, while 13 cases were resected with surgical procedures. Surgical procedures performed were appendectomy in 4 cases, transanal resection in 3 cases, low anterior resection in 3 cases, pancreaticoduodenectomy in 1 case, duodenotomy with mass excision in 1 case, ileotomy with mass excision in 1 case. One case of recurrence was reported during the follow-up period.

    Conclusion

    Gastrointestinal carcinoid tumors have various clinical presentations and the results are highly variable and also individualized according to the site of the primary tumor. It leads to a multiplicity of treatment options for the patients. The expertise of surgeons and endoscopic physicians should be combined for proper management strategies and effective results of carcinoid tumors of gastrointestinal tract treatment.

    Keywords
    Carcinoid; Gastrointestinal; Surgery

    Tables

    Table 1
    Survey of clinical characteristics of patients

    Table 2
    Clinical characteristics of patients

    Table 3
    Type of treatments and results

    Table 4
    Results of the endoscopic resection according to margin status

    Table 5
    Results of the endoscopic resection according to the carcinoid

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    MeSH Terms
    Appendectomy
    Appendix
    Carcinoid Tumor
    Colon
    Duodenum
    Follow-Up Studies
    Gastrointestinal Tract
    Humans
    Medical Records
    Pancreaticoduodenectomy
    Rectum
    Recurrence
    Stomach
    Metrics
    Share
    Tables
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