CASE REPORTS  VASCULAR PAPERS 

The Journal of Cardiovascular Surgery 2000 October;41(5):759-61

Copyright © 2009 EDIZIONI MINERVA MEDICA

lingua: Inglese

First report of hepatic lobectomy for metastatic carotid body tumor

Mall J., Saclarides T. *, Doolas A. *, Eibl-Eibesfeld B. **

From the Department of Surgery Charitè, Campus Mitte, Berlin, Germany *Rush Presbyterian St. Lukes Medical Center Department of General Surgery Chicago Illinois, USA **Euro Med Clin, Allgemeinchirurgie II, Fürth, Germany

Hepatic lobec­to­my for met­a­stat­ic ­colon can­cer is ­well accept­ed, yield­ing a 30-35% ­five-­year sur­vi­val ­with a low mor­tal­ity of ­less ­than 5%. Less com­mon­ly is hepat­ic resec­tion for select­ed metas­ta­sis ­from oth­er ­organs. We ­report ­here ­what we ­believe is the ­first hepat­ic lobec­to­my for a met­a­stat­ic carot­id ­body ­tumor. The ­patient was a 41-­year-old ­white ­female who pre­sent­ed ­with a ­large inca­pac­i­tat­ing hepat­ic metas­ta­sis and an inci­den­tal ­lung metas­ta­sis ­from a carot­id ­body ­tumor resect­ed 12 ­years ear­li­er. The ­patient under­went ­left hem­i­hep­a­tec­to­my and ­local ­lymph ­node dis­sec­tion at our uni­ver­sity. Twenty-one ­months ­after the oper­a­tion the ­patient is asymp­to­mat­ic and has no ­sign of ­tumor reoc­cur­rence . We dis­cuss ­here the clin­i­cal fea­tures, pathoph­y­sio­lo­gy, treat­ment and the sur­gi­cal lit­er­a­ture of ­this ­rare ­entity. This is yet ­another exam­ple of the effec­tive­ness of he­pat­ic resec­tion for non-colon­ic metas­ta­sis (26 ref­er­enc­es).