ArticleJournal of surgical case reports2025
A case of rectal MiNEN demonstrating vascular stalk-like imaging and gross demarcation of tumor components.
Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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13 authors.
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Abstract
Mixed neuroendocrine-non-neuroendocrine neoplasms (MiNENs) of the rectum are extremely rare and pose significant diagnostic challenges. We report a 69-year-old man with rectal MiNEN successfully treated with a robot-assisted Hartmann's procedure. Preoperative contrast-enhanced CT revealed a vascular stalk-like structure within the tumor. Gross pathology showed a clear demarcation between adenocarcinoma and small-cell neuroendocrine carcinoma. Robot-assisted surgery facilitated precise dissection in the narrow pelvic cavity and safe distal transection through a transanal approach. This case highlights unique radiological and pathological findings that may aid in the diagnosis and management of rectal MiNEN.
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