Advertisement

The Japanese journal of surgery

, Volume 20, Issue 4, pp 443–447 | Cite as

A case of rectal carcinoid with extensive sacral breakage

  • Hirokazu Noshiro
  • Kazuhiro Satoh
  • Toshikazu Gondoh
  • Takako Iwata
  • Terumasa Fujii
  • Masaaki Mezuki
  • Hiroshi Masuda
  • Tsuyoshi Inoue
Case Reports

Abstract

A 48 year old woman with a massive retrorectal tumor extensively invading the sacrum is presented herein. A submucosal tumor, apparently of rectal origin, was found on the posterior rectal wall infiltrating posteriorly into the sacrum. Abdominosacral resection of the rectum with partial sacrectomy was thus performed and postoperative examination revealed the tumor to be carcinoid which has hitherto been associated with moderately benign behavior. Although remote metastasis was absent, extensive lymph node metastasis was observed, however, 2 years have passed since the operation without any evidence of recurrence.

Key Words

carcinoid rectal submucosal tumor sacral invasion 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Kotake K, Yoneyama K, Miyata J, Haga Y, Tsukamoto T, Hayashi J. Carcinoid tumors of the rectum. Nippon Daichoh Kohmon Byoh Gakkai Zasshi (J Jpn Soc Coloproctol) 1984; 37: 261–266. (in Japanese)Google Scholar
  2. 2.
    Arima S, Umeno T, Ushijima M, Shimura H. Rectal carcinoid. Nippon Shohkaki Geka Gakkai Zasshi (J J Gastroent Surg) 1978; 11: 136–142. (in Japanese)Google Scholar
  3. 3.
    Jpn Res Soc Cancer Colon Rectum. General rules for clinical and pathological studies on cancer of the colon, rectum and anus. Jpn J Surg 1983; 13: 557–598.CrossRefGoogle Scholar
  4. 4.
    Oberndorfer S. Uber die Kleinen Dundarmcarcinome. Verh Dtsche Ges Pathol 1907; 11: 113–116.Google Scholar
  5. 5.
    Uesugi Y, Mizuno H, Yamaguchi M, Hakamada B. A case of rectal carcinoid. J Jpn Soc Coloproctol 1967; 21: 58–59. (English Abst.)Google Scholar
  6. 6.
    Saltykow S. Uber die Genese der “Karzinoiden Tumoren” so wie der “Adenomyome” des Darm, Beiter. Path Anat 1912; 54: 559–594.Google Scholar
  7. 7.
    Godwin JD. Carcinoid tumors. An analysis of 2837 cases. Cancer 1975; 36: 560–569.PubMedCrossRefGoogle Scholar
  8. 8.
    Williams ED, Sandlev M. The classification of carcinoid tumors. Lancet 1963; 1: 238–239.PubMedCrossRefGoogle Scholar
  9. 9.
    Soga J, Tazawa K. Pathologic analysis of carcinoids. Cancer 1971; 28: 990–998.PubMedCrossRefGoogle Scholar
  10. 10.
    Enjohji M, Watanabe H. Rectal carcinoids. Nippon Daichoh Kohmon Byoh Gakkai Zasshi (J Jpn Soc Coloproctol) 1976; 29: 506–515. (in Japanese)Google Scholar
  11. 11.
    Kira J, Fuchigami T, Murakami M, Omae T, Koga A, Iwashita A, Yamamoto T, Sakaguchi Y. A case report of rectal carcinoid and an analysis of rectal carcinoids reported in Japan. I to Cho (Stomach and Intestine) 1980; 15: 1105–1110. (in Japanese)Google Scholar
  12. 12.
    Naunheim KS, Zeitel J, Kaplan EL, Sugimoto J, Shen KL, Lee CH, Straus FH. Rectal carcinoid tumors. Surgery 1983; 94: 670–676.PubMedGoogle Scholar
  13. 13.
    Bates HR. Carcinoid tumors of the rectum. Cancer 1971; 28: 175–180.CrossRefGoogle Scholar
  14. 14.
    Orloff MJ. Carcinoid tumors of the rectum. Cancer 1971; 28: 175–180.PubMedCrossRefGoogle Scholar

Copyright information

© The Japan Surgical Society 1990

Authors and Affiliations

  • Hirokazu Noshiro
    • 1
  • Kazuhiro Satoh
    • 1
  • Toshikazu Gondoh
    • 2
  • Takako Iwata
    • 2
  • Terumasa Fujii
    • 1
  • Masaaki Mezuki
    • 1
  • Hiroshi Masuda
    • 1
  • Tsuyoshi Inoue
    • 1
  1. 1.The Department of SurgeryYamaguchi Red Cross HospitalYamaguchiJapan
  2. 2.The First Department of Pathology, Faculty of MedicineYamaguchi UniversityUbeJapan

Personalised recommendations