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Case report of an advanced esophageal neuroendocrine carcinoma with hepatic metastasis.
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Humanos , Adulto , Persona de Mediana Edad , Anciano , Anciano de 80 o más Años , Tumores Neuroendocrinos , Neoplasias Duodenales , Endoscopía , EndosonografíaRESUMEN
A pilot, multicenter and randomised study on the treatment of Barrett´s esophagus with electro conventional scalpel versus argon plasma coagulation in 36 patients consecutives. The disappearance of gastric mucosa was achieved in 83% of cases. Not serious adverse effects.
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Value of Choromogranin A and neuron-specific enolase intracystic (EUS-FNB) in the preoperatory diagnosis of cystic pancreatic neuroendocrine tumors.
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Of 50 cases gastric neuroendocrine tumors, in 30 (60%) endoscopic treatment, with relapse rate of 25%, perforation 3,6% and bleeding 7,1%.
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Resección Endoscópica de la Mucosa , Tumores Neuroendocrinos , Neoplasias Gástricas , Humanos , Tumores Neuroendocrinos/diagnóstico por imagen , Tumores Neuroendocrinos/cirugía , Tumores Neuroendocrinos/patología , Recurrencia Local de Neoplasia , Endoscopía , Neoplasias Gástricas/diagnóstico por imagen , Neoplasias Gástricas/cirugía , Neoplasias Gástricas/patología , Enfermedad Crónica , Estudios Retrospectivos , Resultado del TratamientoAsunto(s)
Humanos , Masculino , Femenino , Persona de Mediana Edad , Síndrome Carcinoide Maligno , Somatostatina , Litiasis , Riñón/lesiones , Serotonina , Estudios RetrospectivosRESUMEN
Retrospective study of three cases of MEN type 1 and ZES, to compare with one similar case in publication of The Spanish J of Gastroenterol: MEN-1 and ZES for pancreatic gastrinoma.
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Multicenter, retrospective database review and topical of 46 patients consecutives with subepithelial gastrointestinal tumors (SET). The diagnostic accuracy of deep biopsy miniprobe-guidded: 87%. Complications: seven minor bleeding (15%). The samples obtained, confirm abnormal submucosal arteries mimicking theappearance of SET, are sufficient for histophatological and immunohistochemical diagnosis.
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Fifteen of 20 patients with rectal neuroendocrine tumors G1, smaller than 20 mm underwent endoscopic treatment. Complete endoscopic resecctionwas 93%, with bleeding rate 6% and recurrence relapse rate of 13%.
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Resección Endoscópica de la Mucosa , Tumores Neuroendocrinos , Neoplasias del Recto , Humanos , Tumores Neuroendocrinos/diagnóstico por imagen , Tumores Neuroendocrinos/cirugía , Tumores Neuroendocrinos/patología , Resultado del Tratamiento , Estudios Retrospectivos , Endoscopía , Neoplasias del Recto/cirugía , Neoplasias del Recto/patologíaRESUMEN
Clinical experience is herein reported with somatostatin analogues (octreotide and lanreotide) in the management of 10 CS out of a series of 14 collected cases of carcinoid syndrome (CS).
Asunto(s)
Tumor Carcinoide , Síndrome Carcinoide Maligno , Humanos , Tumor Carcinoide/tratamiento farmacológico , Somatostatina/uso terapéutico , Octreótido/uso terapéutico , Síndrome Carcinoide Maligno/tratamiento farmacológicoRESUMEN
Analysis of 20 cases of duodenal neuroendocrine tumors (DNET). In 9 cases with 12 DNET, endoscopic treatment with hemorrhage or bleeding of 8,3.
Asunto(s)
Neoplasias Duodenales , Resección Endoscópica de la Mucosa , Tumores Neuroendocrinos , Humanos , Tumores Neuroendocrinos/diagnóstico por imagen , Tumores Neuroendocrinos/cirugía , Tumores Neuroendocrinos/patología , Neoplasias Duodenales/diagnóstico por imagen , Neoplasias Duodenales/cirugía , Neoplasias Duodenales/patología , EndoscopíaRESUMEN
Conventional endoscopic sonography has allowed precise diagnostics without disturbances, and miniprobes can be easily introduced through the biopsy channel of the endoscope. Miniprobe endoscopic sonography has many benefits compared with conventional endoscopic sonography. Although there are well-known indications for miniprobe endoscopic sonography in endoscopic digestive tract assessment, there is still a need for this method to be widely spread among physicians and commonly used by most endoscopists. The aim of this series was to describe a multicenter retrospective experience with 1451 procedures using miniprobes, presenting examples and the applicability and usefulness of this technology in the daily activities of an endoscopy department.
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Endoscopía Gastrointestinal/instrumentación , Endoscopía Gastrointestinal/métodos , Endosonografía/instrumentación , Endosonografía/métodos , Enfermedades Gastrointestinales/diagnóstico por imagen , Tracto Gastrointestinal/diagnóstico por imagen , Diseño de Equipo , Humanos , Estudios RetrospectivosRESUMEN
BACKGROUND AND OBJECTIVES: The most accurate technology to detect and diagnose subepithelial tumors (SETs) is the endoscopic ultrasonography (EUS) combined with puncture techniques, such as the endoscopic ultrasonography-guided fine-needle aspiration (EUS-FNA) or the endoscopic ultrasonography-guided fine-needle biopsy. Going further in the improvement of the results of tumor samples obtained endoscopically to diagnose the SETs, the canalization technique guided by miniprobes (MPs) to obtain biopsies of SET could be an alternative to EUS-FNA. The objective of this study is to analyze the results of samples obtained by this procedure. MATERIALS AND METHODS: A multicenter, retrospective study of a review of a database of 32 consecutive patients with a SET in the digestive tract, from 2000 to 2015 was conducted. All patients underwent EUS-performed by MP, to define the size, internal echostructure, and layer of origin of tumor. Once the echostructure was defined, it proceeded to the canalization technique to arrive to the tumor tissue. RESULTS: The average diameter of SETs in this series (32 patients) was about 21.6±11 mm (range: 5-41 mm). The diagnostic accuracy was 28/32, 87.50% (Confidence interval 95%: 76.04%-98.99%), and there were no major complications. All procedures were performed on outpatients, none of which required additional hospitalization. The 50% of patients were operated or endoscopically resected and in all cases, the previous pathological diagnosis was confirmed. CONCLUSIONS: This is a feasible, safe, and effective procedure that allows to access to inside of SET to obtain deep biopsies. Tumor samples obtained by deep biopsy, with prior performing of the canalization technique guided by MP, were sufficient for histopathological and immunohistochemical diagnosis and similar to those obtained with other known methods (FNA Trucut, ProCore®, etc.). However, more prospective comparative studies with a larger number of patients and different specialists carrying out the procedure to reach a higher statistical significance are necessary.
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No disponible
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Humanos , Carcinoma Neuroendocrino/radioterapia , Carcinoma Neuroendocrino/cirugía , Carcinoma Neuroendocrino , Supervivencia , Pronóstico , Patología/métodos , Endoscopía/métodosRESUMEN
The incidence of gastric and rectal carcinoids is increasing. This is probably due to endoscopic screening. The prognosis is primarily dependent upon tumor size, aggressiveness (pathology, Ki-67), metastatic disease and stage. However, neuroendocrine carcinoma usually behaves as an adenocarcinoma.
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Tumores Neuroendocrinos/terapia , Neoplasias del Recto/terapia , Tumor Carcinoide/patología , Tumor Carcinoide/terapia , Humanos , Neoplasias Intestinales/patología , Neoplasias Intestinales/terapia , Tumores Neuroendocrinos/patología , Pronóstico , Neoplasias del Recto/patología , Análisis de SupervivenciaRESUMEN
No disponible