Haq A U, Yook C R, Hiremath V, Kasimis B S
Department of Medicine, Veteran Affairs Medical Center, East Orange, NJ 07019.
Med Pediatr Oncol. 1992;20(3):221-3. doi: 10.1002/mpo.2950200307.
A patient with carcinoid tumor of the head of pancreas and carcinoid syndrome presented without liver metastasis. The patient had retroperitoneal lymphadenopathy. He had symptoms of flushing, diarrhea and abdominal pain. 5-Hydroxyindoleacetic acid (5-HIAA) was elevated. Absence of liver metastasis was documented not only by the negative computed tomography (CT) scan and liver/spleen scan, but also by autopsy. Except for carcinoid arising from ovary, testis, or bronchi, the other carcinoid tumors rarely cause carcinoid syndrome without liver metastasis. The literature was reviewed, and the findings are presented.
一名患有胰腺头部类癌瘤和类癌综合征的患者，就诊时无肝转移。该患者有腹膜后淋巴结病。他有潮红、腹泻和腹痛症状。5-羟吲哚乙酸（5-HIAA）升高。不仅计算机断层扫描（CT）和肝脏/脾脏扫描结果为阴性，尸检也证实无肝转移。除了起源于卵巢、睾丸或支气管的类癌外，其他类癌瘤很少在无肝转移的情况下引起类癌综合征。本文对相关文献进行了综述并展示了研究结果。
