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[Difficulties in diagnosis of neuroendocrine tumors of the gastrointestinal tract].
- Source :
-
Khirurgiia [Khirurgiia (Mosk)] 2023 (4), pp. 70-76. - Publication Year :
- 2023
-
Abstract
- We present diagnosis and complex minimally invasive surgical treatment of a patient with long-standing neuroendocrine tumor of the upper gastrointestinal tract. We followed-up a 50-year-old female patient after endoscopic resection of polypoid neoplasm of the stomach for 2 non-organ retroperitoneal neoplasms in the area of hepatogastric ligament. After a comprehensive examination and minimally invasive surgery including laparoscopic resection of retroperitoneal neoplasms, immunohistochemical examination, PET-CT and targeted endoscopic ultrasound of the stomach, we diagnosed a highly differentiated gastric neuroendocrine tumor with metastases into lymph nodes of hepatogastric ligament. Combination of endoscopic and morphological diagnosis with rigorous histological examination of specimen provided correct diagnosis and reasonable strategy of aggressive minimally invasive surgical treatment.
- Subjects :
- Female
Humans
Middle Aged
Positron Emission Tomography Computed Tomography
Neuroendocrine Tumors diagnosis
Neuroendocrine Tumors surgery
Neuroendocrine Tumors pathology
Retroperitoneal Neoplasms
Stomach Neoplasms diagnosis
Stomach Neoplasms surgery
Stomach Neoplasms pathology
Pancreatic Neoplasms surgery
Subjects
Details
- Language :
- Russian
- ISSN :
- 0023-1207
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Khirurgiia
- Publication Type :
- Academic Journal
- Accession number :
- 37850898
- Full Text :
- https://doi.org/10.17116/hirurgia202304170