Incidental rectal carcinoid discovered after stapled hemorrhoidopexy: importance of histopathologic examination

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COD: 02_2011_155-158 Categorie: ,

Antonio Di Cataldo, Rosalia Latino, Aldo Cocuzza, Giovanni Li Destri, Raffaele Lanteri, Mitchell Wachtel, Eldo Ermenegildo Frezza

Ann. Ital. Chir., 2011 82: 155-157

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AIM: Haemorrhoids are the most common surgically-treated gastrointestinal disorder. Complications of this surgery are
generally non-neoplastic. Because rectal tumours usually present demonstratively during endoscopic examination, it is perhaps
tempting to omit histopathologic examination after haemorrhoidectomy, especially in younger patients.
METHODS: The AA present a case of an early rectal carcinoid discovered after surgical treatment of haemorrhoids in a
27 years old man as an example of why it is essential to send all such specimens in the pathologist.
RESULTS: The detection of early lesions permits the adequate follow-up necessary to preclude more extensive surgery and
eventually to prevent recurrence of tumour.
CONCLUSION: All tissue resected by haemorrhoidopexy must be sent to the pathology laboratory to protect the life and
health of the patient.