Liver transplantation for metastatic hemangiopericytoma associated with hypoglycemia.
We report a case of successful liver transplantation in a young man with metastatic hemangiopericytoma confined to the liver. He had a primary retroperitoneal hemangiopericytoma removed in 1982 and was diagnosed as having liver metastases 8 years later. Subsequently, he developed hypoglycemia, which did not respond to chemotherapy. Hepatectomy and transplantation resolved his hypoglycemic attacks. He remained well and symptom free for 4 years. Liver transplantation can provide effective palliation and should be considered in carefully selected patients with localized metastatic cancer.
Professional Medical Oncology Unit, St. James's University Hospital, Leeds, UK.
J
J
Adams
J P
JP
Lodge
D
D
Parker
D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D003907:Dexamethasone / Q000627:therapeutic use; D004379:Duodenal Neoplasms / Q000601:surgery; D006393:Hemangiopericytoma / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery*; D006801:Humans; D007003:Hypoglycemia / Q000209:etiology*; D008113:Liver Neoplasms / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery*; D016031:Liver Transplantation; D008279:Magnetic Resonance Imaging; D008297:Male; D009362:Neoplasm Metastasis; D012186:Retroperitoneal Neoplasms / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery*
D003907:Dexamethasone