H-Index
14
Scimago Lab
powered by Scopus
eISSN: 1941-5923
call: +1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Logo


Get your full text copy in PDF

Chemoembolization and two-step hepatic resection to treat advanced unresectable metastatic carcinoid tumor

López-Tomassetti Fernández E.M, Martín Malagón A., Rodríguez Ballester L., Arteaga González I

CaseRepClinPractRev 2005; 6:341-346

ID: 440497


Background: Resection of hepatic metastases of gastroenteropancreatic neuroendocrine tumors is possible in only 10% of cases and authentically curative in only 30%. Results usually depend on the
extent and distribution of the metastases at the time of the intervention. Transcatheter arterial
chemoembolization is an accepted palliative method (with great functional benefit for patients
with hypersecreting tumors) of nonresectable multiple bilobar metastases from endocrine tumors but it does not seem to have the efficacy of resectional therapy. Systemic chemotherapy and somatostatin analogues are other available options to treat non-surgically for long-term palliation of these patients.
Case Report: We describe the case of a 66 years-old man with multiple bilobar metastases from intestinal
carcinoid tumor treated succesfully with chemoembolization and two stage hepatic resection with
curative intention. His excellent response to chemoembolization permitted successful application
of an aggressive resectional approach.
Conclusions: Unresectable multilobular hepatic metastases from carcinoid tumor can occasionally be made resectable with preoperative chemoembolization.

This paper has been published under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially.
I agree