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. 2012 Jun;3(2):120-9.
doi: 10.3978/j.issn.2078-6891.2011.039.

Management of gastrointestinal carcinoid tumours - 10 years experience at a district general hospital

Shridhar S Dronamraju  1 , Vickram B Joypaul
Affiliations

Management of gastrointestinal carcinoid tumours - 10 years experience at a district general hospital

Shridhar S Dronamraju et al. J Gastrointest Oncol. 2012 Jun.

Abstract

Background: There is paucity of guidelines regarding management of gastrointestinal carcinoid tumours in district hospitals.

Methods: This study was undertaken at a district hospital to analyse the management pathway of gastrointestinal carcinoid tumours.

Results: Over a period of 10 years there were 35 patients, with an estimated annual incidence of 2.5 per 100,000 population. After a median follow up of 24 months, 22 (63%) patients were alive and disease free. Only 56% patients were referred to the regional neuro-endocrine multidisciplinary team.

Conclusions: Management of patients with carcinoid tumours in district hospitals needs streamling with increased utilisation of regional neuroendocrine multidisciplinary teams.

Keywords: Gastrointestinal carcinoid tumours; district hospital; neuro-endocrine tumours.

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Conflict of interest statement

No potential conflict of interest.

Figures

Figure 1
Figure 1
Presenting symptoms in patients with GICTs in the current study.
Figure 2
Figure 2
(A and B) CT scan images (contrast enhanced) of a 67 yr lady presenting with small bowel obstruction showing an ileal carcinoid causing circumferential mural thickening of a segment of ileum with adjacent radiating mesenteric thickening and stranding (white arrow).
Figure 3
Figure 3
Distribution of GICTs (n=35) at STDH during the period 1999-2009.
Figure 4
Figure 4
Immunohistochemical staining of the ileal carcinoid tumour highlighted in Figure 2 with synaptophysin 10× (A) and with chromogranin immunoperoxidase, 10× (B). Note the nesting (insular) pattern of cell arrangement.
See this image and copyright information in PMC

References

    1. Godwin JD., II Carcinoid tumors. An analysis of 2,837 cases. Cancer. 1975;36:560-569 - PubMed
    1. Akerström G, Hellman P, Hessman O, Osmak L. Management of midgut carcinoids. J Surg Oncol. 2005;89:161-169 - PubMed
    1. Akerstorm G. Companion to specialist surgical practice: endocrine surgery, 2005.
    1. Modlin IM, Lye KD, Kidd M. A 5-decade analysis of 13,715 carcinoid tumors. Cancer. 2003;97:934-959 - PubMed
    1. Robertson RG, Geiger WJ, Davis NB. Carcinoid tumors. Am Fam Physician. 2006;74:429-434 - PubMed