A Case of Rectal Carcinoid Tumor 12 mm in Diameter with Lymph Node Metastasis

Tsuyoshi Igami, Hiroshi Hasegawa, Seiji Ogiso, Masaya Shiomi, Masato Momiyama, Shusaku Ohira, Yu Takahashi, Toshiharu Mori, Keisuke Uehara and Susumu Miyazaki

Department of Surgery, Nagoya Daini Red Cross Hoaspital

A Case of Rectal Carcinoid Tumor 12 mm in Diameter with Lymph Node Metastasis A 26-year-old woman with abdominal pain was diagnosed by endoscopic ultrasonography as having a rectal carcinoid tumor limited to the submucosal layer at Rb and pararectal lymph node swelling. We performed transsacral resection of the rectal tumor at the patient's request. The rectal carcinoid measured 12×12 mm. Tumor invasion was limited to the submucosal layer, and lymph node metastasis was one of three of resected pararectal lymph node. We have followed the patient for 7 years since surgery with no evidence of recurrence. Only 12 cases of lymph node metastasis by rectal carcinoid tumors smaller than 20 mm and limited to the submucosal layer have been reported in the Japanese literature.

Key words
rectal carcinoid tumor, lymph node metastasis

Reprint requests
Tsuyoshi Igami Department of Surgery, Nagoya Daini Red Cross Hospital2-9 Myoken-cho, Showa-ku, Nagoya, 466-8650 JAPAN

Accepted
February 23, 2000

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