title: Long-term survival with metastatic carcinoid tumors: a case report and review of the literature.
abstract: Post hoc studies investigating patients with metastatic carcinoid tumors consistently have demonstrated outcomes that are not all too promising in terms of long-term survival, particularly for those with multiple metastases to the small bowel, mesentery, and liver. Here we present a patient with these clinical findings who, contrary to current expectations, has survived much longer than anticipated. This case is a sobering reminder for physicians not only to evaluate carefully and care for their patients but also to choose their words carefully in all communication with them.
authors.affiliation: Department of Surgery, College of Medicine, Mayo Clinic, Rochester, Minnesota 55905, USA.
authors.forename: David G
authors.initials: DG
authors.lastname: Zacharias
authors.forename: Mark H
authors.initials: MH
authors.lastname: Jensen
authors.forename: David R
authors.initials: DR
authors.lastname: Farley
mesh_terms: D002276:Carcinoid Tumor / Q000401:mortality / Q000473:pathology* / Q000601:surgery; D018450:Disease Progression; D005260:Female; D006801:Humans; D007414:Intestinal Neoplasms / Q000401:mortality / Q000473:pathology* / Q000601:surgery; D007421:Intestine, Small / Q000473:pathology; D008113:Liver Neoplasms / Q000401:mortality / Q000556:secondary / Q000601:surgery; D008207:Lymphatic Metastasis; D008643:Mesentery / Q000473:pathology; D008875:Middle Aged; D010817:Physician-Patient Relations