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BMJ Case Rep. 2011 Feb 14;2011. pii: bcr1020103419. doi: 10.1136/bcr.10.2010.3419.

Primary carcinoid tumour of the liver in a young Filipino female.

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Department of Medicine, Section of Endocrinology, Diabetes and Metabolism, Philippine General Hospital, University of the Philippines, Manila, Philippines.


A 22-year-old female patient presented with rapid weight loss and an abdominal mass of 6 months duration. No other symptoms were noted. Liver function tests and α-fetoprotein were normal. Initial abdominal CT scan showed a large hepatic mass occupying both lobes of the liver, which was diagnosed as carcinoid tumour by liver biopsy. Workups to search for a primary lesion in the gastrointestinal tract and pancreas by oesophagogastroduodenoscopy, colonoscopy and holoabdominal triphasic CT scan with triple contrast failed to reveal the presence of a primary tumour. Subcentimetre pulmonary nodules, believed to be metastatic, were detected on chest CT scan. Bone scan showed no evident bone metastasis. Because of the non-resectability of the tumour, transarterial chemoembolisation was offered as an alternative to treatment, however, the patient opted for palliative care. She succumbed to respiratory failure 6 months after diagnosis.

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