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[Incidental endoscopic finding--ileum carcinoid. Treatment strategy and prognostic factors]
T F Hoffmann1, M Beer, R Burlefinger
1I. Chirurgische Abteilung--Allgemeinchirurgie, Städtisches Krankenhaus München-Neuperlach, Lehrkrankenhaus der Ludwig-Maximilians-Universität München.
Abstract:
The malignancy of gastro-intestinal carcinoids is dependent on localisation and size of the tumor. Tumors of the small bowel seem to have a tissue infiltration depth and extension independent of the primary tumor size. We give a case report of a patient with a carcinoid tumor in the terminal ileum with a diameter of 5 mm and a tissue infiltration depth to submucosa. Based on the immunohistochemical investigation of lymphnode metastases for little, accidentally found carcinoids in the ileum a hemicolectomy with wide mesenteric lymph resection is necessary.