Efficacy of steroid therapy on liver metastasis of thymic carcinoid.
We present a 61-year-old man who was hospitalized because of dyspnea, abdominal pain and liver dysfunction accompanied by ascites due to hepatic metastasis of a thymic carcinoid 20 years after the primary tumor was excised. His symptoms and liver function were well controlled by prednisolone, 30 to 60 mg daily, for the next 2 years, with a reduction in the size of the hepatic tumors and in the accumulation of ascites. He subsequently contracted pneumonia due to methicillin-resistant staphylococci, developed disseminated intravascular coagulation (DIC) and died. Thus, prednisolone should be considered for treating patients with metastasis of a thymic carcinoid.
Hayashi
R
R
Department of Neurology, Nagano Red Cross Hospital.
Hanyu
N
N
Moriyama
S
S
D002276:Carcinoid Tumor / Q000150:complications / Q000188:drug therapy* / Q000556:secondary*; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications / Q000188:drug therapy* / Q000556:secondary*; D008297:Male; D008875:Middle Aged; D011239:Prednisolone / Q000627:therapeutic use*; D013953:Thymus Neoplasms / Q000473:pathology*; D016896:Treatment Outcome
D011239:Prednisolone