title: [Radical surgical treatment of a new neuroendocrine tumor of the ileocecal valve with liver metastasis and carcinoid syndrome].
abstract: BACKGROUND
  Neuroendocrine tumors are rare neoplasms which have a slow growth pattern. When liver metastases are diagnosed, treatment is controversial and it is focused in symptomatic control.
  
  
  OBJECTIVE
  To present a patient with a neuroendocrine tumor that arised from the ileocecal valve and it was diagnosed with carcinoid syndrome and treated with radical liver and colonic resection. A discussion of the different forms of treatment is presented.
  
  
  METHODS
  A 41 year-old woman was sent to our hospital with liver metastases and carcinoid syndrome from a neuroendocrine tumor of the ileocecal valve for treatment. Right colectomy, right hepatic trisectionectomy and radiofrequency ablation of two left sided lesions was performed as a first procedure. A second procedure was performed two months afterwards when resection of residual left sided lesions was done. After a two year follow up a 2 cm residual liver lesion was diagnosed and percutaneous radiofre-quency ablation was done. After four years of follow up the patient has been asymptomatic without tumor recurrence
  
  
  CONCLUSIONS
  Radical surgical treatment of neu-roendocrine tumors controls symptomatology, improving quality of life and survival. However, this treatment should only be performed in a well selected group of patients.
authors.affiliation: Cirugía, Metepec, Estado de México.
authors.forename: Carlos Alberto
authors.initials: CA
authors.lastname: Echeverría-Miranda
authors.forename: Elvira
authors.initials: E
authors.lastname: Gómez-Gómez
authors.forename: Claudia Samantha
authors.initials: CS
authors.lastname: Carrillo-Ponce
authors.forename: Alejandro
authors.initials: A
authors.lastname: Mondragón-Sánchez
authors.forename: Ricardo
authors.initials: R
authors.lastname: Mondragón-Sánchez
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007078:Ileal Neoplasms / Q000473:pathology / Q000601:surgery*; D007080:Ileocecal Valve / Q000473:pathology / Q000601:surgery*; D008113:Liver Neoplasms / Q000556:secondary* / Q000601:surgery*; D008303:Malignant Carcinoid Syndrome / Q000473:pathology* / Q000601:surgery*; D018358:Neuroendocrine Tumors / Q000601:surgery*; D014057:Tomography, X-Ray Computed