Related Experiment Videos
Carcinoid in a rectal duplication: a unique pediatric surgical problem
Insights
Rectal carcinoid tumors are rare in children, with none previously reported. This study details a case of rectal carcinoid found in a child with a rectal duplication, successfully treated with local resection.
Area of Science:
- Pediatric Oncology
- Gastrointestinal Surgery
- Surgical Pathology
Background:
- Carcinoid tumors are neuroendocrine neoplasms that can arise in various organs.
- Appendiceal carcinoids are the most common childhood carcinoid tumors, but rectal carcinoids are exceedingly rare in pediatric populations.
- Rectal duplication anomalies are congenital malformations that can be associated with other gastrointestinal pathologies.
Observation:
- A pediatric patient presented with a rectal duplication anomaly.
- An incidental finding within the rectal duplication was identified as a carcinoid tumor.
- This represents the first reported case of a rectal carcinoid in a child.
Findings:
- The carcinoid tumor was located within the rectal duplication.
- The patient underwent successful local resection of the rectal duplication containing the carcinoid.
- Histopathological analysis confirmed the diagnosis of rectal carcinoid.
Implications:
- This case highlights the importance of thorough histopathological examination of rectal duplications.
- The management principles for intestinal carcinoids, including rectal carcinoids, support local resection for localized disease.
- Successful surgical management suggests a favorable prognosis for pediatric rectal carcinoids when treated promptly.
Abstract:
Since 1935 at the Hospital for Sick Children in Toronto, 13 cases of carcinoid have been seen as incidental findings in the appendix, but carcinoids of the rectum have never previously been reported in childhood. The authors report a child with a rectal duplication in which this tumour was found. The rationale for local resection of the duplication with its contained carcinoid is understood in the light of the principles for treatment of intestinal carcinoids in general and carcinoids of the rectum in particular. Two years after operation the child is well without signs of local or systemic recurrence.