Solitary Microcarcinoid of the Rectal Stump in Ulcerative Colitis

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Abstract

A case of solitary microcarcinoid and chronic ulcerative colitis of the rectal stump is described. The association of intestinal carcinoid with ulcerative colitis has been reported previously in 26 patients. Pathogenic pathways are discussed according to the presence of multifocal carcinoid and/or gut endocrine cell hyperplasia.

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Most cited references 12

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Total abdominal colectomy and ileorectal anastomosis for inflammatory bowel disease.

R L Pastore, B Wolff, D Hodge (1997)

This retrospective study assesses the results of total colectomy and ileorectostomy for inflammatory bowel disease.

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Cancer of the rectum following colectomy and ileorectal anastomosis for ulcerative colitis.

Stuart J. Ritchie, Kristen Glass, Felicity A. Baker … (1978)

The case notes of all patients treated for ulcerative colitis by colectomy and ileorectal anastomosis at the Gordon Hospital under the care of Mr S. O. Aylett from 1952 to 1976 have been reviewed. Three hundred and seventy-four patients left hospital with an ileorectal anastomosis and have been followed for periods up to 23 years. Twenty-two patients are known to have developed a carcinoma of the rectum. Within 10 years of the onset of the disease, no rectal carcinoma was found in 3534 patient-years. The risk was 1 in 185 patient-years between the tenth and twentieth years and 1 in 115 patient-years between the twentieth and thirtieth years. The cumulative risk was 6 per cent (+/- 2 per cent) at 20 years and 15 per cent (+/- 4 per cent) at 30 years. The need for meticulous follow-up is emphasized. The finding of dysplasia in rectal mucosal biopsies will, it is hoped, identify the patient at particularly high risk and enable rectal excision to be undertaken before carcinoma develops.

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Adenocarcinoid tumor of the colon arising in preexisting ulcerative colitis.

A Lyss, J Thompson, J Glick (1981)

Patients with ulcerative colitis are at increased risk of developing adenocarcinoma of the colon. The authors describe a patient whose colonic neoplasm demonstrated histologic characteristics of both an adenocarcinoma and a carcinoid tumor and which was pathologically identical to a appendiceal adenocarcinoid. Because individual tumor cells stained positively for both mucin and argentaffin granules, the histologic picture is unique among the malignancies seen in patients with ulcerative colitis and cannot be explained as a composite of two independent neoplasms that have grown together. Since the tumor discussed seems to have originated from a single cell line, the theory that carcinoids develop from neural crest cells which have migrated to embryonic gut endoderm must be regarded with considerable doubt.

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Author and article information

Journal

Journal ID (publisher-id): NEN

Journal ID (nlm-ta): Neuroendocrinology

Journal ID (doi): 10.1159/issn.0028-3835

Title: Neuroendocrinology

Publisher: S. Karger AG

ISSN (Print): 0028-3835

ISSN (Electronic): 1423-0194

Publication date Subscription-year: 2005

Publication date (Print): November 2005

Publication date (Electronic): 30 November 2005

Volume: 81

Issue: 6

Pages: 400-404

Affiliations

^aCattedra di Chirurgia Generale, and ^bCattedra di Anatomia Patologica, Università degli Studi di Brescia, and ^cSezione di Anatomia Patologica, Dipartimento di Patologia e Medicina di Laboratorio, Università degli Studi di Parma, Parma, Italy

Article

Publisher ID: 89558 Other ID: Neuroendocrinology 2005;81:400–404

DOI: 10.1159/000089558

PubMed ID: 16276118

SO-VID: cc4ef7bd-f7cc-48a4-a5ec-6e28fe982f6a

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Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

History

Date received : 08 February 2005

Date accepted : 08 September 2005

Page count

Figures: 1, Tables: 1, References: 21, Pages: 5

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Solitary Microcarcinoid of the Rectal Stump in Ulcerative Colitis

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Abstract

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Karger: Endocrinology

Most cited references 12

Total abdominal colectomy and ileorectal anastomosis for inflammatory bowel disease.

Cancer of the rectum following colectomy and ileorectal anastomosis for ulcerative colitis.

Adenocarcinoid tumor of the colon arising in preexisting ulcerative colitis.

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Cited by 5

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