2006, Number 4
Rev Gastroenterol Mex 2006; 71 (4)
Radical surgical treatment of a neuroendocrine tumor of the ileocecal valve with liver metastasis and carcinoid syndrome
Echeverría-Miranda CA, Gómez-Gómez E, Carrillo-Ponce CS, Mondragón-Sánchez A, Mondragón-Sánchez R
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ABSTRACTBackground: Neuroendocrine tumors are rare neoplasms which have a slow growth pattern. When liver metastases are diagnosed, treatment is controversial and it is focused in symptomatic control. Aim: To present a patient with a neuroendocrine tumor that arised from the ileocecal valve and it was diagnosed with carcinoid syndrome and treated with radical liver and colonic resection. A discussion of the different forms of treatment is presented. Case report: A 41 year-old woman was sent to our hospital with liver metastases and carcinoid syndrome from a neuroendocrine tumor of the ileocecal valve for treatment. Right colectomy, right hepatic trisectionectomy and radiofrequency ablation of two left sided lesions was performed as a first procedure. A second procedure was performed two months afterwards when resection of residual left sided lesions was done. After a two year follow up a 2 cm residual liver lesion was diagnosed and percutaneous radiofrequency ablation was done. After four years of follow up the patient has been asymptomatic without tumor recurrence Conclusions: Radical surgical treatment of neuroendocrine tumors controls symptomatology, improving quality of life and survival. However, this treatment should only be performed in a well selected group of patients.