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Title: Peritoneal carcinomatosis from a small bowel carcinoid tumour
Authors: Gutierrez, Gonzalo
Daniels, Ian R
Garcia, Ana
Ramia, Jose M
metadata.dc.contributor.authoraffiliation: [Gutierrez,G; Garcia,A; Ramia JM] Hospital Universitario Virgen de las Nieves, Granada, Spain. [Daniels,JM] Royal Devon & Exeter Hospital, Exeter, UK.
Keywords: Carcinoma;Tumor Carcinoide;Adenocarcinoma;Femenino;Pronóstico
metadata.dc.subject.mesh: Medical Subject Headings::Diseases::Neoplasms::Neoplasms by Histologic Type::Neoplasms, Glandular and Epithelial::Carcinoma::Adenocarcinoma::Carcinoid Tumor
Medical Subject Headings::Diseases::Neoplasms::Neoplasms by Histologic Type::Neoplasms, Glandular and Epithelial::Carcinoma::Adenocarcinoma
Medical Subject Headings::Check Tags::Female
Medical Subject Headings::Publication Characteristics::Study Characteristics::Case Reports
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Prognosis
Issue Date: 3-Nov-2006
Publisher: BioMed Central
Citation: Gutierrez G, Daniels IR, Garcia A, Ramia JM. Peritoneal carcinomatosis from a small bowel carcinoid tumour. World J Surg Oncol. 2006 Nov 3;4:75.
Abstract: BACKGROUND. Peritoneal carcinomatosis from a gastrointestinal carcinoid tumour is rare and the long-term management and prognosis have not been clearly defined. The natural history is different from gastrointestinal adenocarcinoma, although its capacity to invade regional lymph nodes and generate distal metastasis can make the management more complex. Whilst the development of carcinomatosis is uncommonly reported, it may be higher than expected. CASE PRESENTATION A 63 years-old woman underwent emergency surgery in 1993 for right iliac fossa pain and a mass that was found to be an ileal carcinoid tumour. Over the next ten years, further surgery was required for disseminated disease with peritoneal carcinomatosis and liver metastasis. Systemic chemotherapy had little effect, although Somatostatin was used effectively to relieve symptoms caused by the disseminated disease (flushing and diarrhoea). CONCLUSION. Peritoneal carcinomatosis from carcinoid tumours is not well documented in the literature. Aggressive surgery must be performed in order to control the disease since chemotherapy has not been reported to be effective. With repeated surgery long-term survival can be achieved in these patients.
Description: Journal Article;
metadata.dc.identifier.doi: 10.1186/1477-7819-4-75
ISSN: 1477-7819 (Online)
Appears in Collections:01- Artículos - Hospital Virgen de las Nieves

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