Linked Life Data

17626622

Source:http://linkedlifedata.com/resource/pubmed/id/17626622

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PredicateObject
rdf:type
lifeskim:mentions
pubmed:dateCreated
2007-8-22
pubmed:abstractText
We present the case of a 46 year old woman with a giant, 23-centimeter, atypical carcinoid of the liver. A primary site for this neoplasm could not be identified despite multiple radiographic imaging studies, including a somatostatin scan, and a thorough inspection of the bowel during surgical resection of the lesion. Histologically, the tumor displayed mild cytologic atypia, abundant necrosis, and intravascular metastases, the last feature of which was identified by immunohistochemical markers for chromogranin and synaptophysin. Also described is the unusual sinusoidal infiltration, or "spillage," of tumor cells into the surrounding liver parenchyma, a feature that has not been described as far as we are aware but may suggest an aggressive clinical course. Even though an exact definition of atypia for these lesions apparently does not exist at this point, the multiple atypical features in this case strongly suggest the diagnosis of atypical carcinoid of the liver, thus far an altogether rare and vaguely reported entity. As more cases arise in the medical literature, it may be worthwhile to establish a set of guidelines to define atypical hepatic carcinoids and other gastrointestinal carcinoids, although survivorship data thus far indicates no significant difference in the prognosis between typical versus atypical variants.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:status
PubMed-not-MEDLINE
pubmed:issn
1752-1947
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
1
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
47
pubmed:dateRevised
2011-9-2
pubmed:year
2007
pubmed:articleTitle
Giant atypical carcinoid of the liver with vascular metastases and local sinusoidal invasion: a case report.
pubmed:affiliation
Department of Pathology, University of Missouri-Kansas City School of Medicine and Truman Medical Center, Kansas City, Missouri, USA. daniel.lingamfelter@tmcmed.org.
pubmed:publicationType
Journal Article