Transcatheter arterial chemoembolization with DSM for primary hepatic malignant carcinoid.
A 66-year-old male with multiple liver tumors was diagnosed as having malignant carcinoid. The case exhibited carcinoid syndrome with wheezing and high urine 5-Hydroxy-Indole Acetic Acid and serum serotonin concentrations. A search for the primary lesion failed to detect tumors except those in the liver, leading to the diagnosis of primary hepatic carcinoid. Repeated transcatheter arterial chemoembolization with degradable starch microspheres decreased the tumors in size and improved the subjective symptoms. Transcatheter arterial chemoembolization with degradable starch microspheres is a useful treatment for unresectable malignant carcinoid of liver origin.
Hijioka
Susumu
S
Department of Gastroenterology, The Cancer Institute Ariake Hospital, Tokyo, Japan. rizasusu@isis.ocn.ne.jp
Ikari
Takaaki
T
Kamei
Akira
A
Takano
Koichi
K
Asahara
Shingo
S
Fujita
Naoya
N
Shimizu
Miyuki
M
Kuraoka
Kensuke
K
Fijita
Rikiya
R
Kanda
Hiroaki
H
Kato
Yo
Y
D000368:Aged; D002276:Carcinoid Tumor / Q000175:diagnosis / Q000473:pathology / Q000628:therapy*; D016461:Chemoembolization, Therapeutic; D003131:Combined Modality Therapy; D005500:Follow-Up Studies; D006801:Humans; D008113:Liver Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000628:therapy*; D008297:Male; D008303:Malignant Carcinoid Syndrome / Q000175:diagnosis / Q000473:pathology / Q000628:therapy*; D049268:Positron-Emission Tomography; D014057:Tomography, X-Ray Computed