Abstract
The patient was a 76-year-old man. A follow-up CT scan after radiation therapy for laryngeal cancer revealed 2 slightly enhanced nodules in the small bowel mesentery, and a small bowel tumor was suspected in February 2009. Double balloon endoscopy and capsule endoscopy showed multiple small bowel carcinoid tumors. No tumors were discovered in other intestines by intraoperative endoscopy, and a 60cm-long ileum was resected with lymph node dissection. The resected specimen showed a total of 15 carcinoid tumors with the diameter of 2 ∼ 10mm and 2 lymph node metastases. He has been disease free, as of 14 months after the surgery. Small bowel carcinoid tumors often develop in multiple lesions, and so intraoperative endoscopy is useful for deciding resection range of the intestine.
