A tree-on-sunset appearance on narrow band imaging: A rectal neuroendocrine tumor peculiarity

Serena Khoury , Kelly Katherine Karam , Emanuel-Youssef Dib , Karam Karam , Elias Fiani
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Abstract

Neuroendocrine tumors (NETs) correspond to a wide group of neoplasms that can arise from various parts of the body, with rectal NETs often being discovered incidentally during colonoscopies. This case report describes a 41-year-old female with a rectal NET identified during routine screening, displaying a distinct “tree-on-sunset” appearance on narrow-band imaging (NBI). The mass, confirmed as a well-differentiated grade 2 NET via endoscopic ultrasound (EUS) and biopsy, was resected using endoscopic mucosal resection (EMR). This report underscores the importance of advanced imaging techniques, such as NBI, in enhancing the accuracy of rectal NET diagnosis and encourages further studies to validate the diagnostic significance of such imaging features.

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窄带成像上的日落树状外观:直肠神经内分泌肿瘤的特殊性
神经内分泌肿瘤(NET)是一类可发生于身体各个部位的肿瘤,直肠NET通常是在结肠镜检查中偶然发现的。本病例报告描述了一名 41 岁女性的直肠 NET 患者,该患者在常规筛查中被发现,窄带成像(NBI)显示出明显的 "日落树 "外观。经内镜超声(EUS)和活检证实,该肿块为分化良好的 2 级 NET,并采用内镜粘膜切除术(EMR)进行了切除。该报告强调了NBI等先进成像技术在提高直肠NET诊断准确性方面的重要性,并鼓励进一步研究验证此类成像特征的诊断意义。
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