Surgical treatment of extra-appendiceal colorectal neuroendocrine tumors.

• Authors: Jan Maryański , Agata Cyran-Chlebicka , Benedykt Szczepankiewicz , Włodzimierz Cebulski , Maciej Słodkowski , Marek Wroński

Abstracts

EN

Background: Extra-appendiceal colorectal neuroendocrine tumors are rare neoplasms with variable biological behavior. Materials and Methods: The study group consisted of 15 patients with an extra-appendiceal colorectal neuroendocrine tumor who underwent surgical resection (M/F=3:12, mean age=62.9 years). Lower-grade neuroendocrine tumors (NET G1-G2) and neuroendocrine carcinomas were recognized in 5 and 10 patients, respectively. Data were evaluated retrospectively with regard to clinical and pathologic characteristics and outcomes. Results: The median age of the patients with lower-grade NETs was significantly lower than that in patients with NECs (53 yrs vs. 68 yrs, p=0.03). NETs G1-G2 were significantly smaller than neuroendocrine carcinomas (4.0 cm vs. 6.4 cm, p=0.02). There were no differences between lower-grade NETs and NECs with regard to tumor location, local infiltration, rate of nodal involvement, and distant metastases. All the patients underwent open segmental resection of the colon or rectum. Complete resection was achieved in 3 of 5 patients from the lower-grade NET group, and in 5 of 10 patients in the NEC group (p=1.0). The overall survival was significantly better for lower-grade NETs tumors (p=0.005). The median survival was 4.8 months in the NEC group. The median survival in the lower-grade NET group was not achieved after a median follow-up of 69 months. Three-year overall survival was at a level of 100% for lower-grade NETs, and only 27% for NECs. Conclusion: Lower-grade neuroendocrine tumors seem to exhibit comparable potential for dissemination as neuroendocrine carcinomas, however, prognostic implications of metastases are distinct.

Keywords

EN

colorectal neuroendocrine tumor; gastrointestinal neoplasms; colorectal surgery

• Publisher: Index Copernicus International
• Journal: Polish Journal of Surgery
• Year: 2018
• Volume: 90(3)
• Pages: 7-12

Dates

published

2018-04-27

Contributors

author

Jan Maryański

author

Agata Cyran-Chlebicka

author

Benedykt Szczepankiewicz

author

Włodzimierz Cebulski

author

Maciej Słodkowski

author

Marek Wroński

Identifiers

DOI

10.5604/01.3001.0011.8164