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Primary hepatic carcinoid tumor in children
David S Foley1, Indira Sunil, Robert Debski
1Department of Surgery, University of Louisville School of Medicine, Louisville, KY 40202, USA. dsfole01@gwise.louisville.edu
Journal of Pediatric Surgery
|October 31, 2008
Summary
Primary carcinoid tumors of the liver are rare, especially in children. Surgical resection offers a favorable prognosis for these indolent, yet potentially metastatic, hepatic neoplasms.
Area of Science:
- Oncology
- Hepatobiliary Surgery
- Pediatric Oncology
Background:
- Primary carcinoid tumors of the liver are exceptionally rare, with limited documented cases.
- Carcinoid tumors commonly metastasize to the liver from gastrointestinal sources, necessitating a thorough search for extrahepatic primary sites.
Observation:
- A case study of a 14-year-old boy with a solid hepatic tumor is presented.
- Initial intraoperative biopsy was inconclusive regarding malignancy.
- The patient underwent successful left hepatic lobectomy for complete tumor resection.
Findings:
- Final histopathology confirmed the hepatic mass as a carcinoid tumor.
- Extensive investigations ruled out any other primary tumor source.
- The patient remains disease-free 32 months post-surgery, indicating a positive outcome.
Implications:
- Primary hepatic carcinoid tumors are notably rare in pediatric populations.
- Surgical resection is the primary treatment modality, offering a better prognosis than other liver malignancies.
- Long-term surveillance is crucial due to the potential for late recurrence.
