Clinicopathological analysis of colorectal carcinoid tumors and patient outcomes

Hung Hsin Lin, Jen Kou Lin, Jeng Kai Jiang, Chun Chi Lin, Yuan Tzu Lan, Shung Haur Yang, Huann Sheng Wang, Wei Shone Chen, Tzu Chen Lin, Wen Yih Liang, Shih Ching Chang*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

15 Scopus citations


Background: Colorectal carcinoid tumors are often described as being low-grade malignant. The objective of the current study was to address the clinicopathological features and outcomes of patients with colorectal carcinoid tumors. Methods: A total of 63 patients with colorectal carcinoid tumors were identified and evaluated using surgical pathology files and medical records between January 2000 and June 2012 at the Veterans General Hospital, Taipei, Taiwan. Results: The median age of the 63 patients was 57.0 years; 38 (60.3%) were male and 25 (39.7%) female. The rectum was the most common tumor site (90.5%). Tumor size was 10.8 ± 7.4 mm, ranging from 2 to 50 mm in diameter. There were 40 patients (63.5%) who received endoscopic treatment for a tumor size of 7.7 ± 4.0 mm, 15 (23.8%) who underwent transanal excision for a mean size of 9.2 ± 4.5 mm and eight (12.7%) who underwent radical surgical resection (mean size: 29.5 ± 13.0 mm). Lymph node metastasis was significantly associated with tumor size. Totally distant metastases (liver) were demonstrated in four (6.3%), patients with mean tumor size of 31.3 ± 9.4 mm (20 to 50 mm). The extent of the disease was associated with survival and the five-year overall survival rate was 92.1%. Conclusions: With widespread colorectal cancer screening, heightened awareness and improved diagnostic modalities, the incidence of colorectal carcinoid tumors will continue to increase. We demonstrated that small-sized colorectal carcinoid tumors and those localized in the mucosa or submucosa may be safely and effectively removed via endoscopic or transanal local excision.

Original languageEnglish
Article number366
JournalWorld Journal of Surgical Oncology
Issue number1
StatePublished - 2014


  • Carcinoid tumor
  • Clinicopathological
  • Colorectal
  • Lymph node metastasis


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