Living-related liver transplantation for multiple liver metastases from rectal carcinoid tumor: A case report

因为 ultrasonography 检测的多重肝肿瘤，一个 42 岁的女人进入我们的医院。结肠镜检查在直肠揭示了粘膜下层肿瘤，它被认为梅毒初期损害。组织病理学说的检查跟随的内视镜的粘膜切除术表明肿瘤是良性肿瘤。肿瘤的 resected 边缘为恶意的房间是积极的。二堂功课到 transcatheter 为肝转移的动脉的化疗是无效的。因此，直肠的肿瘤和变形淋巴结是通过手术 resected。在操作以后的一个月，她从她的儿子收到了肝移植(左侧面的片断和有尾的脑叶) 。没有周期性的损害在肝移植以后在二年被观察了。肝移植应该甚至在良性肿瘤转移的先进情况中被看作一种治疗选择到肝。我们也为变形良性肿瘤肿瘤在肝移植上讨论文学。

A 42-year-old woman was admitted to our hospital because of multiple liver tumors detected by ultrasonography. Colonoscopy revealed submucosal tumor in the rectum, which was considered the primary lesion. Endoscopic mucosal resection followed by histopathological examination revealed that the tumor was carcinoid. The resected margin of the tumor was positive for malignant cells. Two courses to transcatheter arterial chemotherapy for liver metastasis were ineffective. Accordingly, the rectal tumor and metastatic lymph nodes were surgically resected. One month after the operation, she received liver transplantation （left lateral segment and caudate lobe） from her son. No recurrent lesion has been observed at two years after the liver transplantation. Liver transplantation should be considered as a treatment option even in advanced case of carcinoid metastasis to the liver. We also discuss the literature on liver transplantation for metastatic carcinoid tumor.