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英文誌(2004-)

Journal of Medical Ultrasonics

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1999 - Vol.26

Vol.26 No.09

Case Report(症例報告)

(0975 - 0981)

原発性肝カルテノイドの一切除例

Primary Carcinoid Tumor of the Liver: A Case Report

三浦 義明1, 黒田 英克1, 葛西 和博1, 近藤 公亮1, 吉田 俊巳1, 鈴木 一幸1, 佐藤 俊一1, 増田 友之2, 植田 修3, 坂下 信夫4, 阿部 正5

Yoshiaki MIURA1, Hidekatsu KURODA1, Kazuhiro KASAI1, Koryo KONDO1, Toshimi YOSHIDA1, Kazuyuki SUZUKI1, Shunichi SATO1, Tomoyuki MASUDA2, Shu UEDA3, Nobuo SAKASHITA4, Tadashi ABE5

1岩手医科大学第1内科, 2岩手医科大学第2病理 , 3岩手県立福岡病院第1内科 , 4岩手県立一戸病院外科 , 5岩手県立久慈病院外科

1First Department of Internal Medicine Iwate Medical University School of Medicine, 19-1 Uchimaru, Morioka, 020-8505, Japan, 2Second Department of Pathology Iwate Medical University School of Medicine, 19-1 Uchimaru, Morioka, 020-8505, Japan, 3First Department of Internal Medicine Iwate Prefectural Fukuoka Hospital, 7-2 Ohata, Horino, Ninohe, 028-6105, Japan, 4Department of Surgery Iwate Prefectural Ichinohe Hospital, 55 Mukai, ichinohe, 028-5300, Japan, 5Department of Surgery Iwate Prefectural Kuji Hospital, 10-1 Asahi, Kuji, 028-8040, Japan

キーワード : Carcinoid tumor, Liver, Ultrasonography , Computed tomography , Angiography

A 53-year-old woman was hospitalized with a hepatic tumor that had been detected on health-screening ultrasonography. Laboratory data showed no marked findings: HBs-Ag and HCV-Ab were negative, and levels of serum AFP, PIVKA-II, CEA, and CA 19-9 were within their normal ranges. Ultrasonogram showed a hyperechoic circle concentric with and inside of a hypoechoic mass in the right hepatic lobe. The tumor appeared isodense with the surrounding liver in unenhanced CT, but enhanced CT showed a low density mass. A celiac arteriogram revealed a hypervascular tumor. The resected tumor measured 20×15 mm. Microscopic findings showed a carcinoid tumor that was positive for Grimelius stain. Further examination of the lung, gastrointestinal tract, and other organs found no primary carcinoid tumor. The patient has been well and free from tumor of the liver or elsewhere for the 7 years since her operation. We therefore considered this lesion to have been a primary carcinoid tumor of the liver. Only 14 cases of this disease have ever been reported in Japan. This report includes a review of the literature on the imaging of this rare tumor.