Cerrahpaşa Medical Journal, vol.2, no.7, pp.1-6, 2022 (TRDizin)
Neuroendocrine
tumors are the proliferation of neuroendocrine cells that are known to be
highly aggressive with a high mortality rate. The vast majority are seen within
the small intestine and rectum. Rarely, within the colon, they are observed in
the cecum or the ascending colon. In this case, a 66-year-old woman presented
to the clinic with chronic fatigue and constipation. Work-up of the patient led
to the diagnosis of an ulcerating mass within the mid-transverse colon, a
highly unlikely location, where the biopsy revealed neuroendocrine carcinoma. Extended
right hemicolectomy and ileotransversostomy were performed and the pathological
report was consistent with a primary neuroendocrine carcinoma. These tumors are
usually observed in the elderly population and are detected at an advanced
stage. Routine colonoscopic examinations should therefore be performed for
early diagnosis and management.