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首页> 外文期刊>Experimental and clinical transplantation >Rectal Carcinoid Tumor With Liver Metastases Treated by Local Excision and Orthotopic Liver Transplant With Long-term Follow-up
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Rectal Carcinoid Tumor With Liver Metastases Treated by Local Excision and Orthotopic Liver Transplant With Long-term Follow-up

机译:直肠癌局部切除术和原位肝移植治疗肝转移性直肠癌的长期随访

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In patients affected by unresectable liver metastases from neuroendocrine tumor, liver transplant repre?-sents currently the only realistic chance for cure. The first attempt to establish selection criteria for liver transplant in patients affected by neuroendocrine tumor liver metastases was made by Mazzaferro and associates in 2007. We report the case of a 46-year-old man who came to our institution in 2006 with right upper quadrant abdominal pain. Diagnosis of rectal neuroendocrine tumor with bilobar liver nodules was made; the patient underwent transanal local resection. A liver biopsy confirmed the metastatic nature of the hepatic lesion, showing a low-grade neuroendocrine tumor (G1, proliferation index Ki-67 The patient has been disease-free for 3 years. Post?-transplant treatment has played a key role in increasing the overall survival of the patient and assuring him a good quality of life. He died 9 years (102 mo) after liver transplant.
机译:在受到神经内分泌肿瘤无法切除的肝转移影响的患者中,肝移植目前是治愈的唯一现实机会。 Mazzaferro及其同事于2007年首次尝试建立受神经内分泌肿瘤肝转移影响的患者进行肝移植的选择标准。我们报道了一名46岁男子于2006年来到我们机构的右上象限的病例。腹痛。诊断为直肠神经内分泌肿瘤伴双叶肝结节。患者进行了肛门局部切除术。肝活检证实了肝病灶的转移性质,显示为低度神经内分泌肿瘤(G1,增殖指数Ki-67,该患者已无病3年。移植后治疗在增加肝脏疾病中起关键作用病人的整体生存并确保他的生活质量,他在肝移植后9年(102个月)死亡。

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