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[Bilateral Multiple Liver Metastases after Pancreatoduodenectomy for a Duodenal Neuroendocrine Tumor-A Case Report]

[Bilateral Multiple Liver Metastases after Pancreatoduodenectomy for a Duodenal Neuroendocrine Tumor-A Case Report]

Authors :
Hideo, Ota
Shigekazu, Yokoyama
Yuki, Iwama
Kunihiko, Kawai
Kousuke, Kubo
Kazuma, Ito
Shuichiro, Hara
Hidetaka, Miyazaki
Nobuo, Takiguchi
Shigeto, Nakai
Jota, Mikami
Ken, Konishi
Kazuyuki, Okada
Takamichi, Komori
Mutsumi, Fukunaga
Source :
Gan to kagaku ryoho. Cancerchemotherapy. 47(13)
Publication Year :
2021

Abstract

The patient was a 79-year-old woman. In January 20XX, upper gastrointestinal endoscopy revealed a duodenal tumor with bleeding and ulceration. This tumor was diagnosed as a duodenal neuroendocrine tumor(NET)based on biopsy findings. In March 20XX, the patient underwent pancreatoduodenectomy with lymph node dissemination. Based on these pathological findings, the tumor was diagnosed as a duodenal NET(G2)with a lymph node metastasis(T2, N1, M0, Stage Ⅲ). Twenty months after the operation, abdominal CT revealed multiple liver metastases(S4, S7, and S8). After this recurrence, she underwent the subcutaneous somatostatin analogue injection therapy every 28 days, and transarterial chemoembolization( TACE)when these recurrent tumors showed remarkable regrowth, once a year, accounting for her age. She has maintained good disease control for 5 years.

Details

ISSN :
03850684
Volume :
47
Issue :
13
Database :
OpenAIRE
Journal :
Gan to kagaku ryoho. Cancerchemotherapy
Accession number :
edsair.pmid..........2bd5219e3e77aaa3030c067be1194ef2