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Intratumoral Hemorrhage of Liver Metastasis from a Rectal Neuroendocrine Tumor.
Hatanaka, Takeshi; Naganuma, Atsushi; Saito, Takahiro; Hoshino, Takashi; Kakizaki, Satoru; Kumasaka, Toshio; Takamoto, Takeshi; Makuuchi, Masatoshi.
Afiliação
  • Hatanaka T; Department of Gastroenterology, Takasaki General Medical Center, National Hospital Organization, Japan.
  • Naganuma A; Department of Gastroenterology, Takasaki General Medical Center, National Hospital Organization, Japan.
  • Saito T; Department of Gastroenterology, Takasaki General Medical Center, National Hospital Organization, Japan.
  • Hoshino T; Department of Gastroenterology, Takasaki General Medical Center, National Hospital Organization, Japan.
  • Kakizaki S; Department of Gastroenterology and Hepatology, Gunma University Graduate School of Medicine, Japan.
  • Kumasaka T; Department of Pathology, Japanese Red Cross Medical Center, Japan.
  • Takamoto T; Department of Hepato-Biliary-Pancreatic Surgery and Liver Transplantation, Japanese Red Cross Medical Center, Japan.
  • Makuuchi M; Department of Surgery, Towa Hospital, Japan.
Intern Med ; 58(2): 217-223, 2019 Jan 15.
Article em En | MEDLINE | ID: mdl-30210114
A 56-year-old healthy woman was referred to our hospital for abdominal pain. Contrast-enhanced computed tomography (CT) showed a 14-cm-diameter liver tumor with intratumoral hemorrhage. We performed emergent transcatheter arterial embolization. She was referred to hepatic surgeon (M.M.) for resection. Preoperative colonoscopy showed an elevated lesion measuring 2 cm in diameter that was pathologically diagnosed as a rectal neuroendocrine tumor (NET). We performed low anterior resection of the rectum, followed by extended right hepatectomy for all hepatic lesions. Intratumoral hematoma was observed in the largest hepatic lesion (size: 150 mm×100 mm). Microscopy also indicated NET G2. We pathologically diagnosed a liver tumor from a rectal NET that bled spontaneously.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Neoplasias Retais / Tumores Neuroendócrinos / Hematoma / Neoplasias Hepáticas Idioma: En Ano de publicação: 2019 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Neoplasias Retais / Tumores Neuroendócrinos / Hematoma / Neoplasias Hepáticas Idioma: En Ano de publicação: 2019 Tipo de documento: Article