Relato de caso: tumor neuroendócrino intestinal

Abstract

Introduction and objective: The intestinal neuroendocrine tumor is a rare cancer, with incidence of 1-2/100.000 inhabitants. Most cases are asymptomatic and late diagnosed. The aim of this work is to present a rare neuroendocrine intestinal tumor case (in the distal ileum), well-differentiated, with nonspecific and characteristic disease symptoms. Case presentation: 56-year-old male smoker diagnosed with well-differentiated neuroendocrine neoplasia, histological grade 1 (G1), located in the terminal ileum, after exploratory laparotomy. Discussion: It is a rare neoplasm that mainly affects the gastrointestinal tract. Practically always slow-growing. The clinic is nonspecific in most cases, and the principal indication is abdominal pain. There is great potential for metastasis, depending on the tumor size, location and histological grade. Imaging and laboratory tests can assist in diagnosis. The therapy selection depends on the stage, and can range from total tumor resection to antitumor chemotherapy. Conclusion: Although rare, intestinal TNEs incidence has been increasing over the years, requiring clinical knowledge and recognition, and enabling early diagnosis and treatment, to improve these patients’ prognosis.