[en] A 57-year-old man with a history of surgical resection for subocclusive small bowel Crohn’s disease, was referred for endoscopic follow-up. Rectal neuroendocrine tumor(rNETs) was found during screening colonoscopy in the form of a centimetric polyp. A post-polypectomy endoscopy was reassuring while random biopsies performed showed low grade multiple rNETs diffusely infiltrating the mucosa and submucosa. Both abdominal-pelvic computed tomography (CT) and endoscopic ultrasonography echoendoscopy (EUS) did not identify any lymph node or distant lesion. Watch-and-wait strategy was performed by regular colonoscopy and EUS. As far as we know, this case is the unique case reported of non-progressive diffuse multiple rectal neuroendocrine tumors after a very long-term follow-up of 20 years. This case further supports that “Watch and wait” could be a safe alternative management strategy for selected rNETs, specially in patients for whom the surgical risk is increased with a potentially significant impact on the quality of life. (Acta gastroenterol. belg., 2023, 86, 563-565).
Disciplines :
Gastroenterology & hepatology
Author, co-author :
Torres, N; Department of Gastroenterology, Cliniques universitaires St Luc, Yvoir, Belgium
El Moussaoui, Majdouline ; Université de Liège - ULiège > Département des sciences cliniques > Immunopathologie - Maladies infectieuses et médecine interne générale
Basbous, S; Department of Gastroenterology, University Hospital of Charleroi, Charleroi, Belgium
Fridman, Viviana ; Université de Liège - ULiège > Département des sciences biomédicales et précliniques
Borbath, I; Department of Gastroenterology, Cliniques universitaires St Luc, Brussels, Belgium
Deflandre, Jacques ; Université de Liège - ULiège > Département des sciences cliniques > Hépato-gastroentérologie ; Department of Gastroenterology, Centre Hospitalier Régional (CHR) de Liège, Liège, Belgium
Language :
English
Title :
Watch-an-wait strategy for multiple rectal neuroendocrine tumors with widespread invasion.
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