Rectal Carcinoid Tumor in a Renal Transplant Patient
- 진규복; 황은아; 한승엽; 박성배; 김현철; 김형태; 조원현; 권건영
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- Jin, Kyu Bok; Hwang, Eun Ah; Han, Seung Yeup; Park, Sung Bae; Kim, Hyun Chul; Kim, Hyoung Tae; Cho, Won Hyun; Kwon, Kun Young
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- Malignancy represents a leading cause of morbidity and mortality in patients with a long-term surviving graft. Carcinoid tumor is a common primary endocrine tumor in the general population that is rare in transplant recipients. Our present report focused on a 48-year-old man who received immunosuppressive therapy based on cyclosporine and steroids. Twelve years after renal transplantation, he suf fered watery diarrhea and abdominal discomfort. Colonoscopy showed a hard, sessile mass at 5 cm from the anal verge; endoscopic ultrasound showed a 13-mm homogenous hypoechoic mass. Upon endoscopic biopsy, the histological examination revealed a carcinoid tumor. Immunosup-presion was reduced and we performed endoscopic mucosal resection of the rectum. His clinical course has been good with no demonstrated recurrence.
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