Vol 71, No 4 (2020)
Review paper
Published online: 2020-08-14

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Endoscopic management of rectal neuroendocrine tumours. How to avoid a mistake and what to do when one is made?

Krzysztof Dąbkowski1, Marek Szczepkowski2, Beata Kos-Kudła3, Teresa Starzynska1
Pubmed: 32852049
Endokrynol Pol 2020;71(4):343-349.

Abstract

Rectal neuroendocrine tumours are subepithelial lesions that are potentially malignant. Although the biology of these lesions has become increasingly understood and their management has been established, the endoscopic management of these tumours remains controversial.

Recent studies demonstrated that compliance with guidelines is poor, and the majority of rectal neuroendocrine tumours are removed by an improper method, making management more complex and putting patients at risk of metastatic spread. Thus, there is a need to educate physicians who care for patients with these disorders. Our review has some tips and pointers for preventing mistakes in primary treatment and salvage therapy after polypectomy. 

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