Dalla Valle Raffaele, Bordi Cesare, Milione Massimo, De Lisi Roberto, Sianesi Mario
Department of General Surgery and Transplantation, University of Parma, Italy.
Acta Biomed. 2003 Apr;74(1):47-9.
We report an unusual case of solitary facial metastasis as first clinical manifestation of an ileal carcinoid. Only one similar case has been reported in the literature. The patient, a 79 years old man, was referred for the excision of a right facial subcutaneous nodule. Pathology showed a soft tissue metastasis of mid-gut carcinoid. After a complete radiological investigation, a small carcinoid of the terminal ileum was found and the patient underwent a right emicolectomy. Pathology confirmed a typical EC cells carcinoid identical to that of the facial tumor. At 2 years of follow-up no clinical or radiological signs of others metastases were found.
我们报告了一例罕见的以孤立性面部转移瘤为回肠类癌首发临床表现的病例。文献中仅报道过一例类似病例。该患者为一名79岁男性，因右侧面部皮下结节切除术前来就诊。病理检查显示为中肠类癌的软组织转移瘤。经过全面的影像学检查后，发现了末端回肠的一个小类癌，患者接受了右半结肠切除术。病理证实为与面部肿瘤相同的典型EC细胞类癌。随访2年未发现其他转移的临床或影像学征象。
