The American Journal of Gastroenterology · 2023 · 18 citations · 8 references
MedicineOncologySurgeryEndocrine OncologyOncologic SurgerySurgical OncologyEndocrine Surgical OncologyEndocrine Tumor SurgeryEndoscopic Tumor ResectionNeuroendocrine Tumor SurgeryNeuroendocrine TumorsTumor Resection TechniquesGastrointestinal Neuroendocrine TumorsLocalizing Recurrent DiseaseR0 ResectionRectal Cancer SurgeryRectal Neuroendocrine TumorsRectal ResectionRecurrence After SurgerySurgical Re-resection
INTRODUCTION: When initial resection of rectal neuroendocrine tumors (r-NETs) is not R0, persistence of local residue could lead to disease recurrence. This study aimed to evaluate the interest of systematic resection of non-R0 r-NET scars. METHODS: Retrospective analysis of all the consecutive endoscopic revisions and resections of the scar after non-R0 resections of r-NETs. RESULTS: A total of 100 patients were included. Salvage endoscopic procedure using endoscopic submucosal dissection or endoscopic full-thickness resection showed an R0 rate of near 100%. Residual r-NET was found in 43% of cases. DISCUSSION: In case of non-R0 resected r-NET, systematic scar resection by endoscopic full-thickness resection or endoscopic submucosal dissection seems necessary.
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ENETS Consensus Guidelines Update for Colorectal Neuroendocrine Neoplasms
John Ramage, Wouter W. de Herder, Gianfranco Delle Fave et al. · Neuroendocrinology · 2016 · 330 citations
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