Gan to kagaku ryoho. Cancer & chemotherapy · 2018
[A Case of Neuroendocrine Tumor G1 of the Ileum with Multiple Liver Metastases].
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Hashimoto Itaru, Hasegawa Seiji, Ikeda Takahide, Sugawara Yuko, Takagawa Ryo, Inagaki Daisuke, Murakami Hitoshi, Osaragi Tomohiko, Ueda Michio, Ike Hideyuki, Fukushima Tadao, Imada Toshio, Rino Yasushi, Masuda Munetaka
Аннотация
A 74-year-old man was admitted to our hospital with multiple liver tumors detected by routine ultrasonography. Colonoscopy showed a type 2 tumor measuring approximately 25mm in diameter at the terminal ileum. The biopsy specimen showed neuroendocrine tumor(NET)G1. The patient was diagnosed with NET G1 of the ileum with multiple liver metastases. Thus, he underwent ileocecal resection with lymph node dissection and liver(S2)biopsy. A tumor was observed at the terminal ileum with serosal invasion, and the mesenteric lymph nodes were enlarged. Multiple liver metastatic tumors were observed in S2, S5, and S8. The patient was diagnosed with NET G1 of the ileum, T4N1M1, Stage Ⅳ. He is receiving octreotide therapy and has maintained stable disease for about 24 months.