[Surgical treatment of rectal carcinoid--report of 60 cases]

From 1973 to 1989, 60 patients with rectal carcinoid, as discovered by mass screening, were treated. It accounted for 0.02% of subjects screened and was the first among all G-I carcinoids. 96.7% of patients were asymptomatic and 86.6% were located within 8 cm of the anus. All were treated by surgery and none has died of this disease. The frequency of positive stump was 27% as observed in 31 specimens by local resection. Extended local resection still gave a positive residual rate of 9.4%. The authors believe that extended local resection is indicated even for small lesions less than 0.5 cm across.