title: Transcatheter arterial chemoembolization with DSM for primary hepatic malignant carcinoid.
abstract: 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.
authors.affiliation: Department of Gastroenterology, The Cancer Institute Ariake Hospital, Tokyo, Japan. rizasusu@isis.ocn.ne.jp
authors.forename: Susumu
authors.initials: S
authors.lastname: Hijioka
authors.forename: Takaaki
authors.initials: T
authors.lastname: Ikari
authors.forename: Akira
authors.initials: A
authors.lastname: Kamei
authors.forename: Koichi
authors.initials: K
authors.lastname: Takano
authors.forename: Shingo
authors.initials: S
authors.lastname: Asahara
authors.forename: Naoya
authors.initials: N
authors.lastname: Fujita
authors.forename: Miyuki
authors.initials: M
authors.lastname: Shimizu
authors.forename: Kensuke
authors.initials: K
authors.lastname: Kuraoka
authors.forename: Rikiya
authors.initials: R
authors.lastname: Fijita
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Kanda
authors.forename: Yo
authors.initials: Y
authors.lastname: Kato
mesh_terms: 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