What is it about?
A 45-y. old man underwent colonoscopy because his father had just been operated on for colonic carcinoma. A 1 cm large submucosal rectal benign carcinoid was snared unevently. His 49-y. old sister underwent also colonoscopy for the same reason. A 0.5 cm large, benign, carcinoid was snared at the same location. They failed to have any other sibling. Follow-up, warranted by father's carcinoma, helped by tatooing, failed to show any reccurence. Rectum is the most frequent location for digestive carcinoid tumors. Familial aggregation is exceptional not described yet at rectal level. Frequency of cancer is low under 2 cm and inexistent under 1 cm. So, local resection with follow-up is warranted in those cases.
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Why is it important?
Association by chance is under 1/1,000,000, especially at the same location. Recognizing macroscopically small rectal carcinoid tumor is easy, resection also, under the right conditions.
Perspectives
It's important, in my opinion to make medical community aware of exceptionnal cases, enlarging experience of each.
Dr bernard maroy
Read the Original
This page is a summary of: Similar Rectal Carcinoid Tumors of Two Siblings with Curative Endoscopic Snare Resection, Journal of Clinical Gastroenterology, March 1997, Wolters Kluwer Health,
DOI: 10.1097/00004836-199703000-00020.
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