Vol 57, No 2 (2006)
Case report
Published online: 2006-05-26
Neuroendocrine tumors of gastrointestinal tract in own material
Endokrynol Pol 2006;57(2):166-171.
Abstract
Neuroendocrine tumors are rare gastrointestinal tract disorders,
in which diagnosis and treatment are often difficult.
The aim of the paper is to present two cases of patients
with neuroendocrine tumor of gastrointestinal tract, who
underwent surgical procedure in II Department of General
and Gastroenterological Surgery of Medical University of
Białystok in 2005.
A 63-year-old female patient with primary diagnosis of neuroendicrine
tumor metastases in liver was not successfully
investigated for primary tumor in the preoperative period.
The laparotomy procedure indicated the malignant neuroendocrine
tumor in the terminal ileum and metastases to
the liver and to the greater omentum. The right hemicolectomy
and liver metastatic segment VII and VIII resection
were performed. The neurological disturbances of obscure
origin were observed in the postoperative period and the
patient suddenly died on the 15th day after surgery.
A 57-years-old male patient was operated on for lymph node recurrence of gastric tumor. Pathologic examination of tissue sample revealed the diagnosis of carcinoid. The patient underwent subtotal gastric resection for a pyloric ulcer, diagnosed as Adenocarcinoma G2 pT2N0M0 6 years before. Liver and abdominal node metastases, confirmed by octreoscan, were observed after lymphadenectomy, The treatment of somatostatin analogues (LAR octreotide) was used. In spite of therapy the patient died.
The authors present their own experiences and show the preoperative diagnostic difficulties in patients with neuroendocrine gastrointestinal tumors. Unexpected neurological complications in the treatment course were described.
A 57-years-old male patient was operated on for lymph node recurrence of gastric tumor. Pathologic examination of tissue sample revealed the diagnosis of carcinoid. The patient underwent subtotal gastric resection for a pyloric ulcer, diagnosed as Adenocarcinoma G2 pT2N0M0 6 years before. Liver and abdominal node metastases, confirmed by octreoscan, were observed after lymphadenectomy, The treatment of somatostatin analogues (LAR octreotide) was used. In spite of therapy the patient died.
The authors present their own experiences and show the preoperative diagnostic difficulties in patients with neuroendocrine gastrointestinal tumors. Unexpected neurological complications in the treatment course were described.
Keywords: neuroendocrine tumorsdiagnostic difficultiessurgical proceduresneurological complications
