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Because of this more aggressive behavior with more frequent metastases, the ileojejunal carcinoids have the worst prognosis of any subsite . Patients with rectal carcinoids have an early drop in survival and do worse than those with ileojejunal carcinoid in the first 4 years, but ultimately the tumors stabilize and behave similarly to the ...
These cancers are found predominantly in the rectum and cecum, rarely isolated to the ileocecal valve. NECs are notoriously aggressive cancers and carry a median survival of 10.4 months. Treatment includes surgical resection with the use of platinum-based chemotherapy for high-grade tumors.
Histopathological examination revealed adenocarcinoma of the ileum. This rare entity is associated with a nonspecific clinical presentation that contributes to delayed diagnosis and treatment, and consequently to a worse prognosis. Approximately half of the cases are only diagnosed at surgery.
26 paź 2011 · Because of intestinal obstruction, the patient underwent ileocecal resection. He recovered rapidly, received chemotherapy, but died of sepsis 8 weeks later.
Endoscopic submucosal dissection (ESD) is the treatment of choice for colorectal superficial neoplasia, but certain anatomical locations are challenging even for skilled endoscopists. Ileocecal valve (ICV) is considered a technically challenging site for ESD.
Over an 18-year experience, risk of EMR for ICV polyps was numerically lower, and risk of recurrence was numerically higher at first follow and significantly higher at second follow-up compared to non-ICV polyps.
Although survival of patients with ICJ-CAs did not differ from those with right-colonic carcinomas, those with carcinomas directly involving the ICV did show a significantly decreased survival. Conclusion: ICJ-CAs display several distinct clinicopathological features that may require special diagnostic, prognostic and management attention.
