Rectal neuroendocrine neoplasms: what the radiologists should know.

Neuroendocrine neoplasms of the rectum (R-NENs) are rare; however, their incidence has increased almost threefold in the last few decades. Imaging of R-NENs includes two primary categories: anatomic/morphologic imaging comprised of endoscopic ultrasound (EUS), computed tomography (CT), magnetic reso...

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Bibliographic Details
Published in:Abdominal Radiology Vol. 47; no. 12; pp. 4016 - 4032
Main Authors: Virarkar, Mayur, Gopireddy, Dheeraj R., Morani, Ajaykumar C., Alkhasawneh, Ahmad, Klimkowski, Sergio Piotr, Kumar, Sindhu, Lall, Chandana, Bhosale, Priya
Format: Journal Article
Published: Springer Nature Dec2022
Online Access:View this record in EBSCOhost
Description
Summary:Neuroendocrine neoplasms of the rectum (R-NENs) are rare; however, their incidence has increased almost threefold in the last few decades. Imaging of R-NENs includes two primary categories: anatomic/morphologic imaging comprised of endoscopic ultrasound (EUS), computed tomography (CT), magnetic resonance imaging (MRI), and functional/molecular imaging comprising of planar scintigraphy, single-photon emission computed tomography (SPECT), and positron emission tomography (PET). The management depends on stage, dimension, atypical features, histological grade, and lymphovascular invasion (LVI). Low-risk local R-NENs can be resected endoscopically, and high-risk or locally advanced neoplasms can be treated with radical surgery and lymphadenectomy and/or chemoradiation. The review article focuses on imaging illustrations and discusses applications of different imaging modalities in diagnosing and managing R-NENs.