Recurrence of a carcinoid tumor of the ovary 13 years after the primary surgery: A case report.
Recurrence of a carcinoid tumor of the ovary 13 years after the primary surgery: A case report.
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DOI：
10.3892/ol.2013.1530
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发表时间：
2013-11
期刊：
影响因子：
2.9
通讯作者：
Konishi I
中科院分区：
文献类型：
--
作者：
Amano Y;Mandai M;Baba T;Hamanishi J;Yoshioka Y;Matsumura N;Konishi I
目前的研究提出的情况下，复发性卵巢类癌肿瘤的患者，13年后的主要手术。初次手术包括全腹子宫切除术和双侧输卵管卵巢切除术，治疗54岁的左侧卵巢肿瘤。病理诊断为卵巢类癌。初步治疗后，患者因类癌诱导的心力衰竭被心脏病专家收治。患者67岁，转诊至京都大学医院，通过常规超声检查和随后的计算机断层扫描（CT）发现直径8 cm的孤立性肿块，位于主动脉旁区域。尿中5-羟吲哚乙酸盐（5-HIAA）（一种5-羟色胺降解代谢产物）水平升高。诊断为复发性类癌，患者接受了肿瘤切除术。病理诊断为小梁类癌淋巴结转移。术后，5-HIAA水平恢复正常。类癌由于具有边缘恶性潜能，手术后偶尔会复发。由于这些肿瘤生长缓慢，在特定情况下，复发发生后很长一段时间。因此，需要相对较长的随访期。
The current study presents the case of a patient with a recurrent carcinoid tumor of the ovary, 13-years after the primary surgery. The primary surgery consisted of a total abdominal hysterectomy and bilateral salpingo-oophorectomy for a left ovarian tumor at 54 years old. Pathologically, the tumor was diagnosed as a carcinoid tumor of the ovary. Following the primary treatment, the patient was admitted to a cardiologist due to carcinoid-induced heart failure. At 67 years old, the patient was referred to Kyoto University Hospital with a solitary mass 8 cm in diameter and located in the paraaortic area, which was detected by routine ultrasonography and subsequent computed tomography (CT) scans. Urinary 5-hydroxyindole acetate (5-HIAA), a serotonin degradation metabolite, was present at elevated levels. With a diagnosis of a recurrent carcinoid tumor, the patient underwent a tumor resection. The pathological diagnosis was that of lymph node metastasis of the trabecular carcinoid. Post-operatively, the 5-HIAA levels returned to normal. Carcinoid tumors occasionally recur following surgery due to borderline malignant potential. Due to the slow growing nature of these tumors, in specific cases, recurrence occurs following a long interval. Therefore, a relatively long follow-up period is required.
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