What is the treatment of rectal carcinoid?

summary

Rectal carcinoid (rectal neuroendocrine tumor) is a tumor that occurs in the intraepithelial argyrophilic cells of rectal mucosa. Rectal carcinoid is rare in clinic. It develops slowly, has low malignancy, and is often asymptomatic in the early stage. At first, there are one or several nodules under the mucosa, which are hard, active and smooth. To a certain extent, they can penetrate the mucosa and metastasize. Local resection is safe for patients with tumor diameter less than 1 cm and without lymph node metastasis. What is the treatment of rectal carcinoid? Let's talk about my views.

What is the treatment of rectal carcinoid?

First, if the diameter of carcinoid is less than 1 cm, if it does not invade the muscle layer, local resection can be done through the anus or sacrococcygeal incision. If the resection is complete, only close follow-up is needed. After local resection of carcinoid with a diameter of 1-2 cm, if the pathology is benign, close follow-up should be carried out, and extended radical operation should not be performed.

Second, if the patient is diagnosed as malignant carcinoid, rectal resection with anus preservation should be performed. If the carcinoid lesion is small but has invaded submucosa, located in the distal rectum and pathologically confirmed as malignant carcinoid, transanal local extended resection or transabdominal anterior rectectomy may be performed.

Third, if liver metastasis occurs, the primary tumor should be resected at the same time, transcatheter arterial embolization, interventional chemotherapy, etc. Metastasis can also be removed if the condition permits. The prognosis of rectal carcinoid is generally good. Even if local recurrence occurs after operation, re resection may be cured.

matters needing attention

We should exercise more to control the growth of weight, because some patients think that there will be no worries after the operation, so eating and drinking too much will increase the weight, but it is not good for the body. Usually to avoid excessive fatigue, more to ensure adequate sleep. Keep a good mood and avoid being too nervous and depressed. But also to strengthen physical exercise, enhance the body's resistance.