Gastric neuroendocrine neoplasm with liver metastases: a case report

被引:2
|
作者
Chen, Xiao
Zhao, Hong [1 ,2 ]
机构
[1] Chinese Acad Med Sci, Dept Abdominal Surg, Canc Inst Hosp, Beijing 100021, Peoples R China
[2] Peking Union Med Coll, Beijing 100021, Peoples R China
关键词
Gastric neuroendocrine neoplasm (gNEN); liver metastases; multimodality therapy;
D O I
10.21037/tgh.2016.06.05
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
A 39-year-old women was admitted to our department with gastric mass and multiple liver space-occupying lesions found during health check-up. A gastroscopy showed an irregular ridge-like lesion at the lesser curvature of the stomach body (about 40 cm away from the incisor tooth); the pathological and immunohistochemical findings demonstrated the presence of a neuroendocrine tumor of well-differentiated (G1). An abdominal MRI indicated the possibility of multiple liver metastases and multiple perigastric lymph node metastases. After eight cycles of sandostatin treatment, a proximal subtotal gastrectomy + right hepatectomy + left partial hepatectomy + cholecystectomy were performed, and the diagnosis of gastric neuroendocrine neoplasm (gNEN) with liver metastases was confirmed. The patient recovered smoothly after operation and received sandostatin treatment just as pre-operation. We report a case of a gNEN with metastases by multimodality therapy with a view of the literature.
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页数:8
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