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Carcinoid Tumor Resection Surgery

Curative resection of neuroendocrine tumour in carcinoid of the small intestine, appendix and lung.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Genel Cerrahi department. Book Appointment →

What is Carcinoid Tumor Resection Surgery?

Carcinoid tumour is a low-grade neuroendocrine tumour (NET); the most common locations are the small intestine, appendix and lung.

Surgical excision is the only curative treatment. The mainstays of treatment are appendectomy in appendix tumours <1 cm, right hemicolectomy in tumours >2 cm and segmental resection in small-intestinal carcinoids.

Symptoms

Asymptomatic incidental finding (most common)
Carcinoid syndrome (flushing, diarrhoea, bronchospasm; in liver metastasis)
Right lower quadrant abdominal pain (appendiceal carcinoid)
Recurrent abdominal pain (mesenteric ischaemia, small-bowel obstruction)
Cough, haemoptysis (bronchial carcinoid)

Risk Factors

MEN1 syndrome (multiple endocrine neoplasia)
Neurofibromatosis type 1
von Hippel-Lindau syndrome
Family history (rare)
Female gender (slight predominance)

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Suspected carcinoid syndrome (flushing, diarrhoea)
  • Carcinoid foci on appendectomy pathology
  • Submucosal mass on small-bowel imaging
  • Bronchial carcinoid suspicion (cough, haemoptysis)

Treatment Methods

01
Appendectomy (in tumour <1 cm)
02
Right hemicolectomy (>2 cm appendiceal carcinoid; mesoappendix involvement)
03
Segmental small-bowel resection + lymph node dissection (in small-bowel carcinoids)
04
Anatomic lung resection - lobectomy (bronchial carcinoid)
05
Mesenteric mass excision (in mesenteric fibrosis)
06
Hepatic debulking (in liver metastasis; symptom palliation)
07
Octreotide (preoperative carcinoid crisis prophylaxis)
08
Postoperative chromogranin A and 5-HIAA monitoring
09
Ga-68 DOTATATE PET (recurrence imaging)

Which Department to Visit?

You can visit our Genel Cerrahi department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.