Diagnostic accuracy of endoscopic ultrasonography for rectal neuroendocrine neoplasms

Chen, Hong-Tan; Xu, Guofan; Teng, Xiaodong; Chen, Yi-Peng; Chen, Lihua; Li, Youming

doi:10.3748/wjg.v20.i30.10470

Cited by 33 publications

(26 citation statements)

References 26 publications

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“…83,84 Removal often can be accomplished by snare excision or EMR. 83,85,86 It is unknown whether small, unresected granular cell tumors or larger lesions resected endoscopically should undergo surveillance.…”

Section: Pancreatic Restsmentioning

confidence: 99%

The role of endoscopy in subepithelial lesions of the GI tract

Faulx¹,

Kothari²,

Acosta³

et al. 2017

Gastrointestinal Endoscopy

189

184

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Section: Pancreatic Restsmentioning

confidence: 99%

The role of endoscopy in subepithelial lesions of the GI tract

Faulx¹,

Kothari²,

Acosta³

et al. 2017

Gastrointestinal Endoscopy

189

184

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“…However, the rectum remains one of the most frequent sites of digestive NETs[1,2]. The treatment of rectal NETs depends on the tumor size and depth of invasion[1].…”

Section: Introductionmentioning

confidence: 99%

Is endoscopic ultrasonography essential for endoscopic resection of small rectal neuroendocrine tumors?

Park

Kim

et al. 2017

WJG

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AIMTo evaluate the importance of endoscopic ultrasonography (EUS) for small (≤ 10 mm) rectal neuroendocrine tumor (NET) treatment.METHODSPatients in whom rectal NETs were diagnosed by endoscopic resection (ER) at the Pusan National University Yangsan Hospital between 2008 and 2014 were included in this study. A total of 120 small rectal NETs in 118 patients were included in this study. Histologic features and clinical outcomes were analyzed, and the findings of endoscopy, EUS and histology were compared.RESULTSThe size measured by endoscopy was not significantly different from that measured by EUS and histology (r = 0.914 and r = 0.727 respectively). Accuracy for the depth of invasion was 92.5% with EUS. No patients showed invasion of the muscularis propria or metastasis to the regional lymph nodes. All rectal NETs were classified as grade 1 and demonstrated an L-cell phenotype. Mean follow-up duration was 407.54 ± 374.16 d. No patients had local or distant metastasis during the follow-up periods.CONCLUSIONEUS is not essential for ER in the patient with small rectal NETs because of the prominent morphology and benign behavior.

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“…Transrectal EUS is the most sensitive method for pre-operative assessment of the stage of rectal tumour advancement; its sensitivity in the assessment of the tumour and invasion of the rectum wall is 76-93%, and of the regional lymph nodes metastases it is 61-88% [62,63].…”

Section: Endoscopic Ultrasonographymentioning

confidence: 99%

Zalecenia ogólne dotyczące postępowania diagnostyczno-terapeutycznego w nowotworach neuroendokrynnych układu pokarmowego (rekomendowane przez Polską Sieć Guzów Neuroendokrynnych)

Kos–Kudła

Blicharz-Dorniak²,

Strzelczyk³

et al. 2017

Endokrynologia Polska

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Progress in the diagnostics and therapy of gastro-entero-pancreatic (GEP) neuroendocrine neoplasms (NEN), the published results of new randomised clinical trials, and the new guidelines issued by the European Neuroendocrine Tumour Society (ENETS) have led the Polish Network of Neuroendocrine Tumours to update the 2013 guidelines regarding management of these neoplasms. We present the general recommendations for the management of NENs, developed by experts during the Third Round Table Conference - Diagnostics and therapy of gastro-entero-pancreatic neuroendocrine neoplasms: Polish recommendations in view of current European recommenda-tions, which took place in December 2016 in Żelechów near Warsaw. Drawing from the extensive experience of centres dealing with this type of neoplasms, we hope that we have managed to develop the optimal management system, applying the most recent achievements in the field of medicine, for these patients, and that it can be implemented effectively in Poland. These management guidelines have been arranged in the following order: gastric and duodenal NENs (including gastrinoma); pancreatic NENs; NENs of the small intestine and appendix, and colorectal NENs.

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Diagnostic accuracy of endoscopic ultrasonography for rectal neuroendocrine neoplasms

Abstract: EUS has satisfactory diagnostic accuracy for rectal NENs with good sensitivity, but unfavorable specificity, making the differential diagnosis of NENs from other SELs challenging.

Cited by 33 publications

References 26 publications

The role of endoscopy in subepithelial lesions of the GI tract

The role of endoscopy in subepithelial lesions of the GI tract

Is endoscopic ultrasonography essential for endoscopic resection of small rectal neuroendocrine tumors?

Zalecenia ogólne dotyczące postępowania diagnostyczno-terapeutycznego w nowotworach neuroendokrynnych układu pokarmowego (rekomendowane przez Polską Sieć Guzów Neuroendokrynnych)

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