Imamura M, Yamauchi H, Namiki T
Department of Surgery, National Sendai Hospital, Japan.
J Gastroenterol. 1995 Jun;30(3):398-402. doi: 10.1007/BF02347518.
Carcinoid tumor metastatic to the liver from the breast is very unusual. We report a rare case in which the patient underwent curative resection for metastatic lesions to the liver. She had undergone a modified radical mastectomy more than 1 year previously for breast cancer. Recently, it was found that plasma levels of carcinoembryonic antigen (CEA) was elevated, and abdominal ultrasonography detected a liver tumor. The patient underwent a lateral segmentectomy of the liver, resulting in normalization of plasma CEA levels. The resected specimen was diagnosed as carcinoid tumor by histological, immunohistochemical, and ultrastructural microscopic studies. Re-examination of the breast tumor proved it to be the primary carcinoid.
从乳腺转移至肝脏的类癌瘤非常罕见。我们报告一例罕见病例,该患者因肝脏转移灶接受了根治性切除术。她在1年多前因乳腺癌接受了改良根治性乳房切除术。最近,发现癌胚抗原(CEA)血浆水平升高,腹部超声检查发现肝脏有肿瘤。患者接受了肝脏左外叶切除术,术后CEA血浆水平恢复正常。通过组织学、免疫组织化学和超微结构显微镜检查,切除标本被诊断为类癌瘤。对乳腺肿瘤的重新检查证实其为原发性类癌。