Neuroendocrine cancer with liver mets,
Neuroendocrine tumour patient video
The liver represents the preferential site for neuroendocrine tumors' metastases. Case presentation: A year old Caucasian female who presented with nausea, vomiting, diarrhea, accompanied by diffuse abdominal pain was found to have on contrast-enhanced computer tomography an encapsulated, partially cystic liver mass.
The patient underwent an uneventful left atypical hepatic resection.
Histopatological and immunohistochemical examination revealed a slowly growing G1 hepatic neuroendocrine tumour. Post surgery, the specific neuroendocrine markers serum Chromogranin A and 24h urinary 5 hydroxy-indolacetic acid were within normal range.
Further functional imaging investigations were performed. The patient is presently after 4 years of follow-up with no local recurrence or distant metastases.
Conclusions: The diagnosis of PHNET is a medical challenge that requires a thorough longterm follow-up in order to exclude an occult primary neuroendocrine tumour. Key words: neuroendocrine tumor - primary hepatic neuroendocrine tumor - chromogranin A.