title: [Hepatectomy with microwave coagulation therapy for multiple liver metastases of rectal carcinoid--a case report].
abstract: A woman in her 50s was admitted to our hospital for the evaluation of liver masses. Low density areas at S5, S6 and S8 of the liver were revealed by enhanced abdominal CT scan. While exploring for the primary site, we observed a flat tumor, 10 mm in diameter, in the rectum at 10 cm from the anal ring, and local resection of the tumor was performed transanally. It was histologically diagnosed as a rectal carcinoid. During surgery, ultrasonography revealed eight hypoechoic masses at S4, S5, S6 and S8 of the liver. We conducted a partial hepatectomy (S8, S5/6) and microwave coagulation therapy. Histologically, the masses were diagnosed as liver metastases of rectal carcinoid. As of 27 months since surgery, liver metastases control is favorable, and no local recurrence has been observed. Hepatectomy with microwave coagulation therapy is believed to be locally effective in multiple liver metastases of rectal carcinoid tumor.
authors.affiliation: Department of Surgery, Yao Municipal Hospital.
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Hashimoto
authors.forename: Yo
authors.initials: Y
authors.lastname: Sasaki
authors.forename: Shigekazu
authors.initials: S
authors.lastname: Yokoyama
authors.forename: Atsushi
authors.initials: A
authors.lastname: Naitou
authors.forename: Masayuki
authors.initials: M
authors.lastname: Hiraki
authors.forename: Shinji
authors.initials: S
authors.lastname: Matsumoto
authors.forename: Jin
authors.initials: J
authors.lastname: Matsuyama
authors.forename: Syunji
authors.initials: S
authors.lastname: Morita
authors.forename: Takashi
authors.initials: T
authors.lastname: Morimoto
authors.forename: Yukio
authors.initials: Y
authors.lastname: Fukushima
authors.forename: Isamu
authors.initials: I
authors.lastname: Nishisho
authors.forename: Takashi
authors.initials: T
authors.lastname: Nomura
authors.forename: Masashi
authors.initials: M
authors.lastname: Takeda
mesh_terms: D002276:Carcinoid Tumor / Q000473:pathology*; D003131:Combined Modality Therapy; D004564:Electrocoagulation / Q000379:methods*; D005260:Female; D006498:Hepatectomy; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary* / Q000628:therapy*; D008872:Microwaves / Q000627:therapeutic use*; D008875:Middle Aged; D012004:Rectal Neoplasms / Q000473:pathology*