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Published on: September 30, 2016
Carcinoid: modern aspects on its therapy
A Roumeliotis1, K Barkas, G Amygdalos
1Department of Surgery, General Hospital of Chios, E. Venizelou 2, 82100 Chios, Greece.
This review examines colorectal carcinoid tumors, discussing surgical indications for appendiceal carcinoids and treatment strategies for colon and rectal carcinoids. It also highlights valuable post-surgery follow-up imaging and biochemical tests.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Endocrinology
Background:
- Carcinoid tumors are rare neuroendocrine neoplasms.
- Colorectal carcinoid tumors represent a small subset of these neoplasms.
- Optimal management and follow-up strategies require careful consideration.
Observation:
- Two cases of colorectal carcinoid tumors treated at Chios General Hospital prompted this literature review.
- Variations exist among surgeons regarding hemicolectomy indications for appendiceal carcinoids.
- Current therapeutic approaches for colon and rectal carcinoids differ.
Findings:
- The review synthesizes current literature on the therapy and follow-up of colorectal carcinoid tumors.
- It addresses the debate surrounding surgical interventions for appendiceal carcinoids.
- Established imaging techniques and biochemical markers are identified for post-operative surveillance.
Implications:
- Standardizing surgical indications for appendiceal carcinoids may improve patient outcomes.
- Consistent application of recommended therapies for colon and rectal carcinoids is crucial.
- Utilizing validated follow-up protocols enhances early detection of recurrence or metastasis.
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