Ileal neuroendocrine tumor with carcinoid syndrome, neoplasia of difficult diagnosis and variable prognosis.

Authors

  • Gonzalo Miranda Residente de Endocrinologia, Servicio de Endocrinología, Hospital Guillermo Almenara Irigoyen, EsSalud, Lima, Perú
  • Laura Luna Médico Asistente, Servicio de Endocrinología, Hospital Guillermo Almenara Irigoyen, EsSalud, Lima, Perú

DOI:

https://doi.org/10.15381/anales.v76i2.11147

Keywords:

Ileal neuroendocrine tumor, carcinoid syndrome, neuroendocrine tumor.

Abstract

The neuroendocrine tumor (NET) is of difficult diagnosis due to nonspecific symptoms; management is also a challenge. We present the case of a 78 year-old male who suffered of chronic upper abdominal pain and was admitted to emergency with intestinal obstruction and symptoms of carcinoid syndrome (CS). At surgery an ileal tumor was resected with pathology report of NET positive for chromogranin A and ki 67 proliferative index of 2-3%. The patient continued with CS symptoms and presented high levels of 5-HIAA and liver metastases by MRI. Octreotide was started with good outcome. Experience with this case indicates to be alert at symptoms of functioning NET, due to an increase in its incidence. It is useful to request immunohistochemical markers. Identification of NET with low grade mitosis and proliferation signal good prognosis.

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Published

2015-06-15

Issue

Vol. 76 No. 2 (2015)

Section

Casos clínicos

License

Copyright (c) 2015 Gonzalo Miranda, Laura Luna

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How to Cite

1.
Miranda G, Luna L. Ileal neuroendocrine tumor with carcinoid syndrome, neoplasia of difficult diagnosis and variable prognosis. An Fac med [Internet]. 2015 Jun. 15 [cited 2024 Jul. 17];76(2):193-7. Available from: https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/11147