title: Uterus neuroendocrine tumor - a severe prognostic factor in a female patient with alcoholic cirrhosis undergoing chronic hemodialysis.
abstract: There is increased evidence that end-stage renal disease patients, especially the hemodialyzed population, may present various unexpected forms of complications, contributing to a poor prognosis. Furthermore, neuroendocrine tumors, rarely encountered in daily practice, present in dialyzed individuals can significantly exacerbate the inflammatory condition with negative impact on patients' quality of life. We present an unusual case of uterus neuroendocrine tumor with multiple metastases in a 49-year-old female hemodialyzed patient with a history of alcoholic liver cirrhosis and uterus fibromatous. Multiple endoscopic techniques (e.g., upper endoscopy, colonoscopy, upper and lower echoendoscopy), histological evaluation of biopsy samples from involved areas (the operatory piece) were performed in order to complete and refine the diagnosis.
authors.affiliation: Department of Gastroenterology, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania; mariana_jinga@yahoo.com.
authors.forename: Ruxandra Diana
authors.initials: RD
authors.lastname: Sinescu
authors.forename: Andrei
authors.initials: A
authors.lastname: Niculae
authors.forename: Ileana
authors.initials: I
authors.lastname: Peride
authors.forename: Florina
authors.initials: F
authors.lastname: Vasilescu
authors.forename: Ovidiu Gabriel
authors.initials: OG
authors.lastname: Bratu
authors.forename: Dan Liviu Dorel
authors.initials: DL
authors.lastname: Mischianu
authors.forename: Mariana
authors.initials: M
authors.lastname: Jinga
authors.forename: Ionel Alexandru
authors.initials: IA
authors.lastname: Checheriţă
mesh_terms: D002454:Cell Differentiation; D003113:Colonoscopy; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D008875:Middle Aged; D009215:Myometrium / Q000473:pathology; D018358:Neuroendocrine Tumors / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D011379:Prognosis; D006435:Renal Dialysis; D014463:Ultrasonography; D014594:Uterine Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology