Case Series

Asymptomatic Ileal Neuroendocrine “Carcinoid” Tumor Incidentally Diagnosed on Colorectal Cancer Screening Colonoscopy: Does Routine TI Intubation Matter?

Table 1

Summary of all cases.

PatientsAgeGenderIndicationSize of the lesion (mm)Urine 5-HIAA (0–14 mg\gCR)Chromogranin (0–95 ng\ml)ImagingSurgeryPathologyFollow-up notes
InitialFollow upInitialFollow up

Case 166MaleSurveillance: personal history of colon polyp.203 mg/gCR3 mg/gCR7 ng/ml40 ng/mlCT scan: mass in the TI. No findings to suggest metastatic diseaseLaparoscopic, switched to mini-laparotomy right hemicolectomyLow-grade (NET G1) T2N1M0 stage IIIColonoscopy in 2 years: normal neo-ileum
Case 257FemaleAverage risk screening colonoscopy114 mg/gCR2.4 mg/gCR101 ng/ml99 ng/mlCT scan: mesenteric nodule measuring 9 mm adjacent to the TILaparoscopic right hemicolectomyLow-grade (NET G1) T2N1M0 stage IIIColonoscopy in 1 and 3 years: normal neo-ileum
Case 357MaleAverage risk screening colonoscopy15NA2 mg/gCRNA62 ng/mlCT scan: faint enhancement within the TI. No findings to suggest metastatic diseaseLaparoscopic ileocolectomyLow-grade (NET G1) T4N1M0 stage IIIColonoscopy in 1 and 4 years: normal neo-ileum
Case 469FemaleAverage risk screening colonoscopy20NA3 mg/gCR4870 ng/mlCT scan: 10 mm lobulated excrescence involving TI. No findings to suggest metastatic diseaseLaparoscopic right colectomy with ileocolic anastomosisLow-grade (NET G1) T1N1M0 stage IIIColonoscopy in 2 years: normal neo-ileum
Case 555FemaleSurveillance: personal history of colon polyp103 mg/gCRNA1152 ng/ml1160 ng/mlCT scan and NM tumor localization: no findings to suggest metastatic diseaseLaparoscopic right hemicolectomyLow-grade (NET G1) T1N1M0 stage IIIColonoscopy in 1 year: normal neo-ileum.
Case 664MaleAverage risk screening colonoscopy10NANANANACT scan: no findings to suggest metastatic diseaseLaparoscopic right hemicolectomyLow-grade (NET G1) T1N1M0 stage IIINo follow-up colonoscopy
Case 760FemaleAverage risk screening colonoscopy172 mg/gCR4 mg/gCR559 ng/ml149 ng/mlCT scan: no findings to suggest metastatic diseaseRobotic-assisted ileocolectomyLow-grade (NET G1) T2N0M0 stage IIColonoscopy in 1 year: normal neo-ileum
Case 858FemaleAverage risk screening colonoscopy6NANA48 ng/ml56 ng/mlCT scan and NM tumor localization: a 1.1 cm lesion within the TI. No findings to suggest metastatic diseaseOpen right hemicolectomyLow-grade (NET G1) T3N0M0 stage IIColonoscopy in 1 year: normal neo-ileum
Case 969MaleSurveillance: due to piecemeal polypectomy156 mg/gCRNA531 ng\mlNACT chest and enterography: RLQ tumor with peritoneal and omental metastasisLaparoscopic-assisted right hemicolectomyLow-grade (NET G1) T4N1M1 stage IVNo follow-up colonoscopy