1. Ileal carcinoid with liver metastasis presenting after ten years with abdominal mass and right heart failure: report of a case.
- Author
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Stella M, Decian F, Mithieux F, Meeus P, and Rivoire M
- Subjects
- Aged, Carcinoid Heart Disease surgery, Carcinoid Tumor complications, Carcinoid Tumor surgery, Cysts surgery, Heart Valve Prosthesis Implantation, Hepatectomy, Humans, Ileal Neoplasms complications, Liver Neoplasms complications, Liver Neoplasms surgery, Magnetic Resonance Imaging, Male, Pulmonary Valve surgery, Tomography, X-Ray Computed, Treatment Outcome, Tricuspid Valve surgery, Carcinoid Heart Disease etiology, Carcinoid Tumor diagnosis, Carcinoid Tumor secondary, Ileal Neoplasms pathology, Liver Neoplasms diagnosis, Liver Neoplasms secondary
- Abstract
A case of ileal carcinoid metastatic to the liver is reported. The diagnosis was made and treatment given ten years after the detection of a left hypervascular liver mass, which was first confounded with a hemangioma. The onset of right heart failure led to surgical replacement of the tricuspid and pulmonary valves. After cardiac surgery the patient underwent an ileal resection and left hepatectomy for a cystic left liver metastasis. Isolated right heart failure and cystic degeneration of a liver metastasis are uncommon features of metastatic carcinoid tumors; only a few cases have been described in the literature. Cardiac surgery is recommended before liver surgery to reduce venous pressure and consequent bleeding during hepatectomy. Surgical treatment of liver metastases may relieve endocrine symptoms and result in an overall five-year survival rate of 47%.
- Published
- 2006
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