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STUDY ON THE THERAPEUTIC COURSE OF RECTAL CARCINOIDS

We investigated 21 cases of therapeutic methods of rectal carcinoids which had been treated in the hospital from 1961 to 1993. Looking closely into these cases, the male-to-female ratio was 12:9, and the mean age was 53-year-old. Classifying these cases, 9 cases belong to type Isp carcinoid, and the other 12 cases belong to type Is. The tumor size of these cases were between 2mm to 80mm. Endoscopic resections were operated in 14 cases, local surgeries in 5, and radical surgeries in 2. The usual therapeutic course needs the circumstance as follows; the endoscopic polypectomy should be done in the rectal carcinoids which are less than 15mm, and have no depression, no ulcer, no metatstasis, furthermore, the histological examination should be done. We reviewed our usual therapeutic course in detail. In conclusion; 1. There was no recurrence in these 21 cases. 2. Function preserving therapy should be indicated for patient's Q. O. L., whenever possible.