Fig. 2. Muscularis propria invasion in a patient with a rectal neuroendocrine tumor (NET) < 10 mm in size. Endoscopic ultrasonography showed results suggesting muscularis propria invasion (white arrows). Endoscopic submucosal dissection was performed. The final histologic report revealed a grade 2 NET, 9 mm in size, with a mitotic count index of 3/10 high-power fields and a Ki-67 index of 5%. The patient was positive for lymphovascular and perineural invasion, and deep resection margins were observed.
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