| Theme |
Colorectal carcinoid tumors -- New strategy of treatment |
| Title |
Excision surgery for colorectal carcinoids |
| Author |
Yukio Murata |
Tokyo metropolitan Komagome hospital |
| Author |
Tatsuro Yamaguchi |
Tokyo metropolitan Komagome hospital |
| Author |
Masayuki Oue |
Tokyo metropolitan Komagome hospital |
| Author |
Keiichi Takahashi |
Tokyo metropolitan Komagome hospital |
| Author |
Takeo Mori |
Tokyo metropolitan Komagome hospital |
| [ Summary ] |
Our treatment of colorectal carcinoids was for tumors measuring less than 2.0cm, with indications for local excision. Those measuring over 2.0cm were treated with radical resection and lymphadenectomy, because of the high rate of lymph node metastasis and liver metastasis. Recently, however, even those measuring less than 1.0cm have been removed endoscopically, due to advances in EMR techniques.
We observed twenty three cases of resection for colorectal carcinoids from 1983 to 2001, and observed four cases (25.0%) of histologically positivelymph nodes and asynchronous liver metastases treated with radical resection lymphadenectomy and local resection, which measured less than 2.0cm. Therefore, local resection surgery for colorectal carcinoids is more certain. There is a limit to excision surgery for multiple liver metastases of colorectal carcinoids, and we should individualize therapies. |