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Low-grade Rectal Neuroendocrine Tumor Recurring as Multiple Hepatic Metastasis after Complete Endoscopic Removal: A Case Report

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Á¶ÀÍÇö ( Jo Ik-Hyun ) 
Catholic University College of Medicine St. Vincent¡¯s Hospital Department of Internal Medicine

ÀÌ°­¹® ( Lee Kang-Moon ) 
Catholic University College of Medicine St. Vincent¡¯s Hospital Department of Internal Medicine
±è´ë¹ü ( Kim Dae-Bum ) 
Catholic University College of Medicine St. Vincent¡¯s Hospital Department of Internal Medicine
ÀÌÁö¹Î ( Lee Ji-Min ) 
Catholic University College of Medicine St. Vincent¡¯s Hospital Department of Internal Medicine

Abstract


The World Health Organization classified rectal neuroendocrine tumors (NETs) as malignant in 2010 owing to their distant metastasis potential. On the other hand, in cases of small rectal NETs (<10 mm), which have a low risk of metastasis, endoscopic removal is the first-line therapeutic option, and regular surveillance is not recommended. The authors report a case of a small, well-differentiated rectal NET, which recurred as multiple hepatic metastases 5 years after apparent complete removal using endoscopic methods.

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Neuroendocrine tumors; Rectum; Carcinoid tumor; Neoplasm metastasis

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