학술논문

Type III Gastric Neuroendocrine Tumor - a Case Report
Document Type
article
Source
Modern Medicine, Vol 27, Iss 4, Pp 319-322 (2020)
Subject
neuroendocrine tumor
net
endoscopy
digestive bleeding
gastric
polyp
Medicine
Medicine (General)
R5-920
Language
English
ISSN
1223-0472
2360-2473
Abstract
We present the case of a 71 year old female that was endoscopically diagnosed with type III neuroendocrine gastric tumor (NET). NETs are rare, slowly growing neoplasm originating in the neuroendocrine cells, that can occur anywhere in the body. Gastrointestinal forms account for more than a half of them. If type I and II gastric neuroendocrine tumors can be managed endoscopically, type III and IV have sugery as their main therapy. Because type III lessions have the greatest potential to generate metastasis, we did a CT scan on the patient and found distant metastasis located in the liver and also to the lymph nodes. Treatment options depend on the type of tumor, its location, signs and symptoms experienced by the patient, due to excess hormones produced by the tumor, and also if there is resectable metastatic disease or not. Altough our patient had a voluminous tumor, surgical resection was possible, followed by chemotherapy, with good evolution.