Department of Hepatobiliary Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan 430022, China.
World J Surg Oncol. 2011 Nov 19;9:151. doi: 10.1186/1477-7819-9-151.
Primary hepatic carcinoid tumor is rare and poses a challenge for diagnosis and management. We presented a case of primary hepatic carcinoid tumor in a 53-year-old female with a complaint of right upper abdominal pain. Computer tomography scans revealed a hypervascular mass in segment 4 of the liver. An ultrasonography-guided biopsy showed a carcinoid tumor. No other lesions were found by the radiological investigations. Surgery resection was performed and histopathological examination revealed a primary hepatic carcinoid tumor. Three years later, recurrence was found and transcatheter arterial chemoembolization was performed. After transcatheter arterial chemoembolization, the patient has been free of symptom and had no radiological disease progression for over 6 months. Surgical resection combination with transcatheter arterial chemoembolization is effective to offer excellent palliation.
原发性肝类癌肿瘤较为罕见,其诊断和治疗存在一定挑战。我们报告了 1 例 53 岁女性患者,因右上腹痛就诊。计算机断层扫描显示肝 4 段有一个富血管性肿块。超声引导下活检显示类癌肿瘤。影像学检查未发现其他病变。患者接受了手术切除,组织病理学检查显示原发性肝类癌肿瘤。3 年后,发现复发并进行了经导管动脉化疗栓塞术。经导管动脉化疗栓塞术后,患者症状缓解,6 个月以上无影像学疾病进展。手术切除联合经导管动脉化疗栓塞术治疗效果显著,可提供良好的姑息治疗效果。