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Carcinoid tumors.

L Dawes, W J Schulte, R E Condon

    Archives of Surgery (Chicago, Ill. : 1960)
    |April 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    This study on carcinoid tumors found jejunoileal and colon carcinoids are often metastatic. Aggressive surgical therapy improved patient survival for these neuroendocrine tumors.

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    Area of Science:

    • Oncology
    • Gastroenterology
    • Endocrinology

    Background:

    • Carcinoid tumors, a type of neuroendocrine tumor, can arise from various sites.
    • Understanding the epidemiology and clinical behavior of carcinoid tumors is crucial for patient management.

    Purpose of the Study:

    • To analyze the sites of origin, metastatic patterns, and clinical outcomes of carcinoid tumors.
    • To identify factors associated with carcinoid tumor presentation and prognosis.

    Main Methods:

    • Retrospective analysis of 86 patients diagnosed with carcinoid tumors over an 18-year period.
    • Data collection included tumor location, metastatic status, associated symptoms, and treatment received.

    Main Results:

    • The most common primary sites were jejunoileum (28 cases), appendix (22), and rectum (16).

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  • Appendiceal and rectal carcinoids were frequently benign and incidental, while jejunoileal and colon carcinoids were often metastatic.
  • Jejunoileal carcinoids showed a high association with multiple tumor sites and secondary neoplasms.
  • Metastatic disease, particularly liver metastasis, was linked to the carcinoid syndrome and symptomatic presentation.
  • Chronic intermittent intestinal obstruction was associated with mesenteric metastasis.
  • Conclusions:

    • Carcinoid tumor presentation and behavior vary significantly by primary site.
    • Early detection and aggressive surgical intervention are vital for improving survival in patients with carcinoid tumors.
    • Further research into the management of metastatic neuroendocrine tumors is warranted.