Preoperative Endoscopic Tattooing for Laparoscopic Subtotal Gastrectomy as a Conservative Approach in Type 1 Neuroendocrine Tumor: A Case Report and Review

Veronica Salais, Jose Coronado A, Cesar Lopez A and Carlos Perzabal T

Division of Internal Medicine/Gastroenterology, Ciudad Juarez Medical Specialty Center, Mexico

^*Correspondance to: Veronica Salais 

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Abstract:

Background: Neuroendocrine tumors are rare lesions most usually found incidentally in endoscopic procedures manifested as submucosal lesions or small polyps. Incidence is reported around 1-2 cases for every 1,000,000. Most of type 1 neuroendocrine tumors are found as small polyps located at either fundus or gastric corpus. We present a case of a 48-year-old male with history of arterial hypertension, with severe megaloblastic anemia and melena for which endoscopic procedure was solicited. Endoscopic findings were atrophic gastritis and two small gastric polyps Paris Isp and Is. Pathology reported Type 1 neuroendocrine tumor. Due to the absence of metastasis or locoregional invasion, conservative management was done via laparoscopic subtotal gastrectomy with previous endoscopic submucosal tattoo delimiting the distal and proximal borders of disease. In conclusion an optimal treatment for type 1 neuroendocrine tumors is controversial. Conservative management is an accepted conduct in cases where local disease is confirmed. One way to better optimize the surgical treatment is to be able to better identify the affected gastric areas via endoscopic marking.

Keywords:

Neuroendocrine type 1 tumor; Atrophic gastritis; Endoscopic tattoo; Laparoscopic gastrectomy

Cite the Article:

Salais V, Jose Coronado A, Cesar Lopez A, Carlos Perzabal T. Preoperative Endoscopic Tattooing for Laparoscopic Subtotal Gastrectomy as a Conservative Approach in Type 1 Neuroendocrine Tumor: A Case Report and Review. Clin Oncol. 2020; 5: 1700.