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Thor Halfdanarson: Approach grade 2 rectal NETs with caution
Dec 4, 2024, 06:56

Thor Halfdanarson: Approach grade 2 rectal NETs with caution

Thor Halfdanarson, Vice President of the North American Neuroendocrine Tumor Society, shared a post on X:

“Please approach grade 2 and/or >10 mm rectal NETs with caution. 10 mm rectal NET found on routine colonoscopy, resected endoscopically with pos deep margin, Ki67 9%. Pelvic MRI with rectal mass larger than appreciated and perirectal and pelvic nodal mets as per below.

Thor Halfdanarson: Approach grade 2 rectal NETs with caution

ENETS has excellent guidance on the management of colorectal NETs including on use of imaging. Rectal NETs increasingly diagnosed on screening colonoscopies – mostly resected endocopically at a small size and are G1 and do not need further imaging.

Thor Halfdanarson: Approach grade 2 rectal NETs with caution

I am armed and dangerous now, having access to digital pathology (without the knowledge to interpret what I see…). Below are pics, selected by an oncologist (married to a non-practicing pathologist trained by Andrew Bellizzi). Gotta love digital pathology, especially at tumor boards.”

Thor Halfdanarson: Approach grade 2 rectal NETs with caution

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