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Application of Hemostatic Devices in Laparoscopic Hepatectomy

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Published on: April 19, 2022

Primary hepatic carcinoid tumor.

Y Une¹, Y Li, K Uemura

¹KANAZAWA MED COLL,DEPT PATHOL,KANAZAWA,ISHIKAWA,JAPAN.

Oncology Reports

|May 20, 2011

Summary

This case study details a rare primary hepatic carcinoid tumor diagnosed via fine needle biopsy and successfully treated with liver surgery. The patient, presenting with fatigue, lacked typical endocrine symptoms, highlighting diagnostic challenges.

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Area of Science:

Hepatobiliary Medicine
Surgical Oncology
Gastroenterology

Background:

Primary hepatic carcinoid tumors are exceptionally rare, often presenting without characteristic endocrine symptoms.
Diagnosis can be challenging due to nonspecific symptoms and the tumor's unusual location.
Carcinoid tumors originate from neuroendocrine cells and can occur in various organs.

Purpose of the Study:

To report a unique case of primary hepatic carcinoid tumor.
To describe the diagnostic process, including fine needle biopsy findings.
To review surgical management and outcomes for this rare condition.

Main Methods:

A case of primary hepatic carcinoid tumor was investigated.
Diagnosis was confirmed using fine needle biopsy with Grimelius staining and chromogranin A immunoreactivity.

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The patient underwent left hepatic trisegmentectomy for treatment.

Literature review of previously reported primary hepatic carcinoid tumors was conducted.

Main Results:

A primary hepatic carcinoid tumor was diagnosed in a patient presenting with generalized fatigue.
Biopsy revealed Grimelius-stained, chromogranin A-positive cells, with tumor cells showing argyrophilia.
No other primary tumor sites were identified pre- or intraoperatively.
Successful surgical resection was achieved via left hepatic trisegmentectomy.

Conclusions:

Primary hepatic carcinoid tumors are rare and can present atypically without endocrine symptoms.
Fine needle biopsy is crucial for diagnosing hepatic carcinoid tumors.
Surgical resection, such as trisegmentectomy, offers a successful treatment option for localized primary hepatic carcinoid tumors.