A complex case of rectal neuroendocrine carcinoma with terminal delirium.
BACKGROUND
A 62-year-old white male presented to our department in December 2004 with a 1-month history of intermittent, voluminous bleedings per rectum. His medical history was unremarkable apart from a single, short-lasting syncope shortly before the first bleeding episode.


METHODS
Physical examination, colonoscopy, rectal tumor biopsy and immunohistochemistry, pelvic MRI, abdominal and chest CT scans, ultrasound-directed puncture cytology, octreotide scintigraphy, biochemical analysis of tumor markers, and conventional laboratory tests.


METHODS
Locally advanced rectal neuroendocrine carcinoma with liver metastases.


RESULTS
Chemotherapy, CT-planned radiotherapy, antihypercalcemic therapy, terminal supportive care.
Ree
Anne Hansen
AH
Department of Radiotherapy and Medical Oncology, The Norwegian Radium Hospital, Norway. a.h.ree@medisin.uio.no
D003131:Combined Modality Therapy; D003693:Delirium / Q000175:diagnosis / Q000209:etiology* / Q000378:metabolism; D017809:Fatal Outcome; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D006934:Hypercalcemia / Q000150:complications / Q000209:etiology / Q000378:metabolism; D008297:Male; D008875:Middle Aged; D018358:Neuroendocrine Tumors / Q000150:complications* / Q000175:diagnosis / Q000378:metabolism / Q000628:therapy; D011379:Prognosis; D012004:Rectal Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000378:metabolism / Q000628:therapy; D013575:Syncope / Q000209:etiology