A Case of Carcinoid Tumor of the Rectum Metastasizing to the Liver and Pancreas

Yasuro Kurisu, Kazuo Kurayoshi, Kazuyoshi Hoshino, Akira Sugezawa, Osamu Kimura, Ryuichi Hamazoe, Nobuaki Kaibara

First Department of Surgery, Faculty of Medicine, Tottori University

A 70-year-old woman was admitted to our hospital with complaints of bloody stool, diarrhea, and weight loss. Digital examination of the rectum, barium enema, endoscopy, and computed tomography revealed a huge rectal tumor with invasion to the uterus and vagina, and a pancreatic tumor and multiple liver tumors. Rectal amputation with resection of neighboring organs, distal pancreatectomy with splenectomy, needle biopsy of one of the liver tumors, and cannulation into the proper hepatic artery for postoperative chemotherapy were performed. Resected tumors of the rectum, pancreas, and liver showed similar findings immunohistochemically and electron microscopically, and were diagnosed as rectal carcinoid tumor with metastasis to the liver and pancreas.

Key words
metastasis to the pancreas, carcinoid tumor of the rectum, immunohistochemistry

Reprint requests
Yasuro Kurisu First Department of Surgery, Faculty of Medicine, Tottori University
36-1 Nishi-machi, Yonago, 683 JAPAN

Accepted
January 12, 1994

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