ILEAL CARCINOID WITH LIVER METASTASIS PRESENTING AFTER TEN YEARS WITH ABDOMINAL MASS AND RIGHT HEART FAILURE: REPORT OF A CASE
| Autor: | Franco Decian, Pierre Meeus, Michel Rivoire, Mattia Stella, François Mithieux |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2006 |
| Předmět: |
Male
Cancer Research medicine.medical_specialty medicine.medical_treatment Carcinoid Heart Disease Heart failure Carcinoid Tumor Ileal carcinoid 030218 nuclear medicine & medical imaging Metastasis Hemangioma 03 medical and health sciences 0302 clinical medicine medicine Hepatectomy Humans Survival rate Liver metastasis Aged Heart Valve Prosthesis Implantation Pulmonary Valve medicine.diagnostic_test Cysts business.industry Liver Neoplasms Magnetic resonance imaging General Medicine medicine.disease Magnetic Resonance Imaging Abdominal mass Surgery Cardiac surgery Ileal Neoplasms Treatment Outcome Oncology 030220 oncology & carcinogenesis Tricuspid Valve medicine.symptom Tomography X-Ray Computed business |
| Popis: | A case of ileal carcinoid metastatic to the liver is reported. The diagnosis was made and treatment given ten years after the detection of a left hypervascular liver mass, which was first confounded with a hemangioma. The onset of right heart failure led to surgical replacement of the tricuspid and pulmonary valves. After cardiac surgery the patient underwent an ileal resection and left hepatectomy for a cystic left liver metastasis. Isolated right heart failure and cystic degeneration of a liver metastasis are uncommon features of metastatic carcinoid tumors; only a few cases have been described in the literature. Cardiac surgery is recommended before liver surgery to reduce venous pressure and consequent bleeding during hepatectomy. Surgical treatment of liver metastases may relieve endocrine symptoms and result in an overall five-year survival rate of 47%. |
| Databáze: | OpenAIRE |
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