Living-related liver transplantation for multiple liver metastases from rectal carcinoid tumor: a case report.
A 42-year-old woman was admitted to our hospital because of multiple liver tumors detected by ultrasonography. Colonoscopy revealed submucosal tumor in the rectum, which was considered the primary lesion. Endoscopic mucosal resection followed by histopathological examination revealed that the tumor was carcinoid. The resected margin of the tumor was positive for malignant cells. Two courses to transcatheter arterial chemotherapy for liver metastasis were ineffective. Accordingly, the rectal tumor and metastatic lymph nodes were surgically resected. One month after the operation, she received liver transplantation (left lateral segment and caudate lobe) from her son. No recurrent lesion has been observed at two years after the liver transplantation. Liver transplantation should be considered as a treatment option even in advanced case of carcinoid metastasis to the liver. We also discuss the literature on liver transplantation for metastatic carcinoid tumor.
Nakajima
Yoshimi
Y
Department of Medicine and Molecular Science, Gunma University Graduate School of Medicine, 3-39-15 Showa-machi, Maebashi, Gunma 371-8511, Japan. htakagi@med.gunma-u.ac.jp
Takagi
Hitoshi
H
Sohara
Naondo
N
Sato
Ken
K
Kakizaki
Satoru
S
Nomoto
Kenichi
K
Suzuki
Hideki
H
Suehiro
Taketoshi
T
Shimura
Tatsuo
T
Asao
Takayuki
T
Kuwano
Hiroyuki
H
Mori
Masatomo
M
Nishikura
Ken
K
D000328:Adult; D002276:Carcinoid Tumor / Q000175:diagnosis / Q000473:pathology*; D003113:Colonoscopy; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery*; D016031:Liver Transplantation / Q000379:methods*; D009034:Mother-Child Relations; D012004:Rectal Neoplasms / Q000175:diagnosis / Q000473:pathology*; D014463:Ultrasonography