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Yang Lv Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, China

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Ning Pu Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, China

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Wei-lin Mao Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, China

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Wen-qi Chen Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, China

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Huan-yu Wang Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, China

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Xu Han Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, China

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Yuan Ji Department of Pathology, Zhongshan Hospital, Fudan University, Shanghai, China

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Lei Zhang Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, China

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Da-yong Jin Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, China

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Wen-Hui Lou Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, China

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Xue-feng Xu Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, China

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3). According to the 2010 WHO classification, high-grade G3 rectal neuroendocrine carcinomas (NECs) were defined as a tumor with Ki-67 proliferation index greater than 20% or mitotic rate greater than 20 per 10 high power fields ( 3 ). NECs are

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