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Gynecologic Cancers • Medical Oncology
Is further workup and management required for an incidentally found small focus of neuroendocrine tumor of the endometrium?
In a patient who underwent laparoscopy for endometriosis and was found to have a 1mm focus of neuroendocrine tumor, would you recommend further surgery? Or imaging to evaluate for a non-gyn primary?
Answer from: Medical Oncologist at Academic Institution
It depends on the grade and differentiation. Primary endometrial tumors are very rare and tend to be high grade and poorly differentiated. A lower grade tumor, especially an implant on the peritoneal surface, is much more likely to be a metastasis, most likely from a GI primary. A sample obtained at...
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