Hepatic Resection for Carcinoid of the Liver

Tsuyoshi Ichikawa, Shogo Tanaka, Shoji Kubo, Taichi Shuto, Takatsugu Yamamoto, Takahiro Uenishi, Hiromu Tanaka, Kazuhiro Hirohashi, Kenichi Wakasa^* and Hiroaki Kinoshita

Department of Gastroenterological Sugery and Hepato-Biliary-Pancreatic Surgery, Osaka City University, Graduate School of Medicine, ^*Department of Pathology, Osaka City University Hospital, Osaka, Japan

A 47-year-old man with repeated epigastric discomfort admitted to treat a hepatic mass detected by ultrasonography (US) was found through laboratory data to have elevated serum AFP and CA 19-9, although hepatitis B surface antigen and anti-hepatitis C antibody assay were negative. Contrast-enhanced computed tomography (CT) and celiac angiography showed a slightly enhanced, heterogeneous mass 10 cm in diameter occupying hepaticmedial and anterior segments. We conducted right trisegmentectomy after transcatheter arterial chemoembolization and percutaneous transhepatic portal embolization to prevent postoperative hepatic failure. The tumor was diagnosed immunohistochemically as carcinoid of the liver. The man died in an accident 3 months after surgery with no evidence of recurrence. We reported a case of resected hepatic carcinoid tumor.

Key words
carcinoid of the liver, preoperative diagnosis, hepatic resection

Reprint requests
Tsuyoshi Ichikawa Department of Gastroenterological and Hepato-Biliary-Pancreatic Surgery, Osaka City University, Graduate School of Medicine 1-4-3 Asahimachi, Abeno-ku, Osaka, 545-8585 JAPAN

Accepted
February 27, 2002

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