CLINICAL REPORTS   

Chirurgia 2002 February;15(1):31-6

Copyright © 2002 EDIZIONI MINERVA MEDICA

language: Italian

Right hemicolectomy for T4 carcinoid of distal ileal ansa. Diagnostic recruitment of intraoperative us for contemporary wedge resection of VI liver segment, treating single liver methastasis

Russo A., Aloise F., Buccianelli E., Veltroni A.

The case of carcinoid tumor reported concentrates the main features accompanying this kind of neuroendocrine neoplasms, such as long clinical latency, symptomatological aspecificity, advanced stage when diagnosed. Located at the distal ileum, it wasn't accompanied by pathognomonic syndrome, but a solitary hepatic metastasis, which made possible surgical treatment of the disease, with left hemicolectomy and cuneiform resection of the VI hepatic segment. The poor prognosis of advanced ileal carcinoids (5 year survey: N0 M+ = 54%), didn't lead us to give up the radical exeretic strategy, that's anyway the only device to improve survival.