Year 2022 / Volume 114 / Number 8
Letter
From metastasis to the primary tumor: Giant liver metastasis from a pancreatic neuroendocrine tumor

498-499

DOI: 10.17235/reed.2022.8758/2022

Elena Resina Sierra, José Carlos García-Gil, Alejandra Rosell Alayza, Alberto Ezquerra Durán, Raquel Muñoz González, Leticia González Moreno, María Caldas, Cecilio Santander Vaquero,

Abstract
We present the case of a 37-years old male, who consulted for an extended history of intermittent nausea and vomiting. Laboratory tests showed moderate elevated bilirubin (1.30 mg/dL) and GGT (106 U/L). An abdominal CT scan performed showed a solid 18-centimetres (cm) mass located in the right liver lobe. A biopsy of the lesion was performed, revealing metastastic cells of a well-differentiated neuroendocrine tumour (NET, G3 (Ki-67: 25%). Further study was performed with MRI, and SPECT-CT, showing a 2-cm lesion in the pancreatic tail suggestive of being the primary NET. Chromogranin A levels were high (114.100 ng/ml). In our case, despite the large size of the liver metastasis a full resection of the tumours was achieved.
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References
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Citation tools
Resina Sierra E, García-Gil J, Rosell Alayza A, Ezquerra Durán A, Muñoz González R, González Moreno L, et all. From metastasis to the primary tumor: Giant liver metastasis from a pancreatic neuroendocrine tumor. 8758/2022


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Publication history

Received: 28/02/2022

Accepted: 01/03/2022

Online First: 08/03/2022

Published: 27/07/2022

Article Online First time: 8 days

Article editing time: 149 days


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