Gastric Carcinoid Tumor in Association with Hepatocellular Carcinoma: A Case Report.
Petrou, Athanasios MD; Alexandros, Papalambros MD; Ioannis, Papaconstantinou MD, PhD; Frangiska, Sigala MD, PhD; Kostantinos, Xiromeritis MD; Evangelos, Felekouras MD, PhD; Efstathios, Papalambros MD, PhD
[Report] Southern Medical Journal. 101(11):1170-1172, November 2008.

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A second primary malignancy (SPM) can occur in patients with gastrointestinal carcinoids. A patient underwent endoscopic resection of a gastric carcinoid. Repeat gastroscopy revealed recurrence of the lesion and multiple nodular gastric lesions, while an abdominal computed tomography scan revealed a small solid lesion in the left hepatic lobe. The patient underwent total gastrectomy and wedge resection of what proved to be a hepatocellular carcinoma. This case illustrates the significance of considering SPM in every patient with gastrointestinal carcinoids. SPMs are more aggressive than carcinoids, and awareness and early resection of these tumors may improve prognosis.

(C) 2008 Southern Medical Association