title: Primary Hepatic Carcinoid Tumor with Poor Outcome.
abstract: Primary Hepatic Carcinoid Tumor (PHCT) represents an extremely rare clinical entity with only a few cases reported to date. These tumors are rarely associated with metastasis and surgical resection is usually curative. Herein, we report two cases of PHCT associated with poor outcomes due to late diagnosis. Both cases presented late with non-specific symptoms. One patient presented after a 2-week history of symptoms and the second case had a longstanding two years symptomatic interval during which he remained undiagnosed and not properly worked up. Both these cases were diagnosed with hepatic carcinoid tumor, which originates from neuroendocrine cells. Case 1 opted for palliative care and expired in one month&rsquo;s time. Surgical resection was advised to the second case, but he left against medical advice.
authors.affiliation: Department of Medicine, The Aga Khan University Hospital, Karachi.
authors.forename: Om
authors.initials: O
authors.lastname: Parkash
authors.affiliation: Department of Medical Student, The Aga Khan University Hospital, Karachi.
authors.forename: Adil
authors.initials: A
authors.lastname: Ayub
authors.affiliation: Department of Medical Student, The Aga Khan University Hospital, Karachi.
authors.forename: Buria
authors.initials: B
authors.lastname: Naeem
authors.affiliation: Department of Medical Student, The Aga Khan University Hospital, Karachi.
authors.forename: Sehrish
authors.initials: S
authors.lastname: Najam
authors.affiliation: Department of Medicine, The Aga Khan University Hospital, Karachi.
authors.forename: Zubair
authors.initials: Z
authors.lastname: Ahmed
authors.affiliation: Department of Medicine, The Aga Khan University Hospital, Karachi.
authors.forename: Wasim
authors.initials: W
authors.lastname: Jafri
authors.affiliation: Department of Medicine, The Aga Khan University Hospital, Karachi.
authors.forename: Saeed
authors.initials: S
authors.lastname: Hamid
mesh_terms: D002276:Carcinoid Tumor / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006801:Humans; D008113:Liver Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed