title: [Multiple Metachronal Liver Metastases from a Rectal Neuroendocrine Tumor Controlled by Repeated Transcatheter Arterial Chemoembolization].
abstract: A 60-year-old woman was diagnosed with a rectal neuroendocrine tumor(NET)with SM invasion.We performed laparoscopic low anterior resection with D3 lymph node dissection.Pathological findings were rectal NET, G1, pSM(9,000 mm), ly0, v0, pN0, PM0, DM0, pR0, pStage I .Four years and 6 months later, contrast enhanced abdominal computed tomography (CECT)and contrast enhanced magnetic resonance imaging revealed multiple liver metastases.The tumors were unresectable because they were bilobar; therefore, we performed transcatheter arterial chemoembolizaion(TACE).One month later, CECT showed the lesions had shrunk.The metastases were well controlled via repeated TACE.For unresectable liver metastases from rectal NET, TACE can be an effective treatment.
authors.affiliation: Dept. of Surgery, Kansai Rosai Hospital.
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Morimoto
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Kagawa
authors.forename: Atsushi
authors.initials: A
authors.lastname: Naito
authors.forename: Takeshi
authors.initials: T
authors.lastname: Kato
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Oneda
authors.forename: Tomo
authors.initials: T
authors.lastname: Ishida
authors.forename: Yasufumi
authors.initials: Y
authors.lastname: Sato
authors.forename: Ryuichi
authors.initials: R
authors.lastname: Kuwahara
authors.forename: Kohei
authors.initials: K
authors.lastname: Murakami
authors.forename: Yoshiteru
authors.initials: Y
authors.lastname: Katsura
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Ohmura
authors.forename: Atsushi
authors.initials: A
authors.lastname: Takeno
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Takeda
authors.forename: Shigeyuki
authors.initials: S
authors.lastname: Tamura
mesh_terms: D016461:Chemoembolization, Therapeutic; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary / Q000628:therapy*; D018358:Neuroendocrine Tumors / Q000556:secondary / Q000628:therapy*; D012004:Rectal Neoplasms / Q000473:pathology*; D016896:Treatment Outcome