tailieunhanh - Báo cáo khoa hoc:" External beam irradiation of myocardial carcinoid metastases: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: External beam irradiation of myocardial carcinoid metastases: a case report | Journal of Medical Case Reports BioMed Central Case report Open Access External beam irradiation of myocardial carcinoid metastases a case report Jonathan Strosberg Sarah Hoffe Todd Hazelton and Larry Kvols Address H. Lee Moffitt Cancer Center and Research Institute 12902 Magnolia Drive Tampa FL 33612 USA Email Jonathan Strosberg - Sarah Hoffe - Todd Hazelton - Larry Kvols - Corresponding author Published 19 September 2007 Received 15 May 2007 _ . - - lrtP . I 10 -7 I or Accepted 19 September 2007 Journal of Medical Case Reports 2007 1 95 doi 1752-1947-1-95 This article is available from http content 1 1 95 2007 Strosberg et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract The heart is an exceedingly rare site of metastatic involvement in carcinoid tumors. Only nineteen cases have been described in the literature over the past 30 years. We report here on a patient who presented with progressive carcinoid syndrome despite surgical resection of her liver metastases. She was found to have cardiac metastases on inidium-111-pentetreotide scintigraphy and subsequently underwent external beam radiation to the heart resulting in symptomatic palliation of her syndrome and objective radiographic response. To our knowledge this is the first reported case of metastatic cardiac carcinoid treated with external beam irradiation. Case presentation A 45 year-old woman with a history of metastatic carcinoid disease presented to our institution with progressive flushing and diarrhea. She had been diagnosed with a carcinoid tumor 18 months earlier when an enlarged mesenteric lymph node was