Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Synchronous association of rectal adenocarcinoma and three ileal carcinoids: a case report | BioMed Central World Journal of Surgical Oncology Open Access Case report Synchronous association of rectal adenocarcinoma and three ileal carcinoids a case report Seamus M McHugh Jill O Donnell and Peter Gillen Address Department of Surgery Our Lady of Lourdes Hospital Drogheda Ireland UK Email Seamus M McHugh - seamusmchugh@ Jill O Donnell - jillodon@ Peter Gillen - pgillen@ Corresponding author Published 19 February 2009 Received 29 October 2008 World Journal of Surgical Oncology 2009 7 21 doi l477-78l 9-7-21 Accepted 19 February 2009 This article is available from http content 7 l 2l 2009 McHugh et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Synchronous midgut carcinoids with gastrointestinal adenocarcinoma are a rare but recognised association. Case presentation The patient a 74 year old woman underwent anterior resection for a low rectal adenocarcinoma. Intra-operatively 3 serosal deposits of tumour were noted in the distal ileum. Histology revealed these to be ileal carcinoids. Conclusion During resection of a gastrointestinal tumour a thorough inspection of the abdominal cavity should be undertaken to investigate the possibility of metastatic secondaries or a synchronous tumour as is reported in this case. Background The natural history of midgut carcinoid tumours is to progress slowly arising from neuro-endocrine cells that line the tract. They often present with metastasis at diagnosis and occur most frequently in the ileum 52 and the appendix 22 1 . The incidence of ileal carcinoids appears to be increasing 2 . The concept of an association with a synchronously occurring non-carcinoid neoplasia was first broached in 1949 3 and several .
