Efficacy of endoscopic resection for small rectal carcinoid: a retrospective study

Yu Jin Kim, SangKil Lee, JaeHee Cheon, Tae Ill Kim, Yongchan Lee, Won Ho Kim, Jae Bock Chung, Seung Woo Yi, Semi Park

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

BACKGROUND/AIMS: Well differentiated rectal carcinoid tumors which are less than 1cm in diameter can be treated by endoscopic resection. We aimed to evaluate the efficacy of endoscopic resection in treating small sized rectal carcinoids. METHODS: Medical records of 30 rectal carcinoid cases treated by endoscopic resection in Yonsei University College of Medicine, Severance Hospital between January 1995 and March 2007 were reviewed retrospectively. RESULTS: Mean age was 49.7 years and male to female ratio was 1:0.88. Mean size of tumor was 6.29+/-3.06 mm and 25 out of 30 patients (83.3%) had tumors of diameter less than 10 mm. Twenty-two out of 30 patients treated by conventional polypectomy, 6 by endoscopic mucosal resection using a transparent cap (EMR-C) and 2 by endoscopic submucosal dissection (ESD). Histological examination revealed that 9 patients had resection margin positive for tumor; 7 (31.8%) were in polypectomy group, 1 (16.7%) in EMR-C group, and 1 (50%) in ESD group (p=0.868). Five patients underwent transanal excision to remove residual tumor. No residual tumor was found in additionally resected tissue. Mean follow-up duration was 19. 3 months (range 0-122), and there were no recurrence. CONCLUSIONS: Endoscopic resection is an effective method in the treatment of small rectal carcinoids. However, long-term outcome remains to be elucidated by a large scaled prospective study.

Original languageEnglish
Pages (from-to)174-180
Number of pages7
JournalThe Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi
Volume51
Issue number3
Publication statusPublished - 2008 Jan 1

Fingerprint

Carcinoid Tumor
Retrospective Studies
Residual Neoplasm
Hospital Medicine
Neoplasms
Rectal Neoplasms
Medical Records
Prospective Studies
Recurrence
Endoscopic Mucosal Resection
Therapeutics

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Kim, Yu Jin ; Lee, SangKil ; Cheon, JaeHee ; Kim, Tae Ill ; Lee, Yongchan ; Kim, Won Ho ; Chung, Jae Bock ; Yi, Seung Woo ; Park, Semi. / Efficacy of endoscopic resection for small rectal carcinoid : a retrospective study. In: The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi. 2008 ; Vol. 51, No. 3. pp. 174-180.
@article{e6bf45a3b1594491aba20283ee33555a,
title = "Efficacy of endoscopic resection for small rectal carcinoid: a retrospective study",
abstract = "BACKGROUND/AIMS: Well differentiated rectal carcinoid tumors which are less than 1cm in diameter can be treated by endoscopic resection. We aimed to evaluate the efficacy of endoscopic resection in treating small sized rectal carcinoids. METHODS: Medical records of 30 rectal carcinoid cases treated by endoscopic resection in Yonsei University College of Medicine, Severance Hospital between January 1995 and March 2007 were reviewed retrospectively. RESULTS: Mean age was 49.7 years and male to female ratio was 1:0.88. Mean size of tumor was 6.29+/-3.06 mm and 25 out of 30 patients (83.3{\%}) had tumors of diameter less than 10 mm. Twenty-two out of 30 patients treated by conventional polypectomy, 6 by endoscopic mucosal resection using a transparent cap (EMR-C) and 2 by endoscopic submucosal dissection (ESD). Histological examination revealed that 9 patients had resection margin positive for tumor; 7 (31.8{\%}) were in polypectomy group, 1 (16.7{\%}) in EMR-C group, and 1 (50{\%}) in ESD group (p=0.868). Five patients underwent transanal excision to remove residual tumor. No residual tumor was found in additionally resected tissue. Mean follow-up duration was 19. 3 months (range 0-122), and there were no recurrence. CONCLUSIONS: Endoscopic resection is an effective method in the treatment of small rectal carcinoids. However, long-term outcome remains to be elucidated by a large scaled prospective study.",
author = "Kim, {Yu Jin} and SangKil Lee and JaeHee Cheon and Kim, {Tae Ill} and Yongchan Lee and Kim, {Won Ho} and Chung, {Jae Bock} and Yi, {Seung Woo} and Semi Park",
year = "2008",
month = "1",
day = "1",
language = "English",
volume = "51",
pages = "174--180",
journal = "The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi",
issn = "1598-9992",
publisher = "Korean Society of Gastroenterology",
number = "3",

}

Efficacy of endoscopic resection for small rectal carcinoid : a retrospective study. / Kim, Yu Jin; Lee, SangKil; Cheon, JaeHee; Kim, Tae Ill; Lee, Yongchan; Kim, Won Ho; Chung, Jae Bock; Yi, Seung Woo; Park, Semi.

In: The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi, Vol. 51, No. 3, 01.01.2008, p. 174-180.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Efficacy of endoscopic resection for small rectal carcinoid

T2 - a retrospective study

AU - Kim, Yu Jin

AU - Lee, SangKil

AU - Cheon, JaeHee

AU - Kim, Tae Ill

AU - Lee, Yongchan

AU - Kim, Won Ho

AU - Chung, Jae Bock

AU - Yi, Seung Woo

AU - Park, Semi

PY - 2008/1/1

Y1 - 2008/1/1

N2 - BACKGROUND/AIMS: Well differentiated rectal carcinoid tumors which are less than 1cm in diameter can be treated by endoscopic resection. We aimed to evaluate the efficacy of endoscopic resection in treating small sized rectal carcinoids. METHODS: Medical records of 30 rectal carcinoid cases treated by endoscopic resection in Yonsei University College of Medicine, Severance Hospital between January 1995 and March 2007 were reviewed retrospectively. RESULTS: Mean age was 49.7 years and male to female ratio was 1:0.88. Mean size of tumor was 6.29+/-3.06 mm and 25 out of 30 patients (83.3%) had tumors of diameter less than 10 mm. Twenty-two out of 30 patients treated by conventional polypectomy, 6 by endoscopic mucosal resection using a transparent cap (EMR-C) and 2 by endoscopic submucosal dissection (ESD). Histological examination revealed that 9 patients had resection margin positive for tumor; 7 (31.8%) were in polypectomy group, 1 (16.7%) in EMR-C group, and 1 (50%) in ESD group (p=0.868). Five patients underwent transanal excision to remove residual tumor. No residual tumor was found in additionally resected tissue. Mean follow-up duration was 19. 3 months (range 0-122), and there were no recurrence. CONCLUSIONS: Endoscopic resection is an effective method in the treatment of small rectal carcinoids. However, long-term outcome remains to be elucidated by a large scaled prospective study.

AB - BACKGROUND/AIMS: Well differentiated rectal carcinoid tumors which are less than 1cm in diameter can be treated by endoscopic resection. We aimed to evaluate the efficacy of endoscopic resection in treating small sized rectal carcinoids. METHODS: Medical records of 30 rectal carcinoid cases treated by endoscopic resection in Yonsei University College of Medicine, Severance Hospital between January 1995 and March 2007 were reviewed retrospectively. RESULTS: Mean age was 49.7 years and male to female ratio was 1:0.88. Mean size of tumor was 6.29+/-3.06 mm and 25 out of 30 patients (83.3%) had tumors of diameter less than 10 mm. Twenty-two out of 30 patients treated by conventional polypectomy, 6 by endoscopic mucosal resection using a transparent cap (EMR-C) and 2 by endoscopic submucosal dissection (ESD). Histological examination revealed that 9 patients had resection margin positive for tumor; 7 (31.8%) were in polypectomy group, 1 (16.7%) in EMR-C group, and 1 (50%) in ESD group (p=0.868). Five patients underwent transanal excision to remove residual tumor. No residual tumor was found in additionally resected tissue. Mean follow-up duration was 19. 3 months (range 0-122), and there were no recurrence. CONCLUSIONS: Endoscopic resection is an effective method in the treatment of small rectal carcinoids. However, long-term outcome remains to be elucidated by a large scaled prospective study.

UR - http://www.scopus.com/inward/record.url?scp=58149333896&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=58149333896&partnerID=8YFLogxK

M3 - Article

C2 - 18451691

AN - SCOPUS:58149333896

VL - 51

SP - 174

EP - 180

JO - The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi

JF - The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi

SN - 1598-9992

IS - 3

ER -