中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

原发性肝神经内分泌瘤1例报告

杜季康 赵小玲 杨贵彬 魏武 脱红芳

引用本文:
Citation:

原发性肝神经内分泌瘤1例报告

DOI: 10.3969/j.issn.1001-5256.2021.06.043
利益贡献声明:所有作者均声明不存在利益冲突。
作者贡献声明:杜季康、赵小玲负责课题设计,资料分析,撰写论文;杜季康、杨贵彬、魏武参与收集数据,修改论文;脱红芳负责拟定写作思路,指导撰写文章并最后定稿。
详细信息
    作者简介:

    杜季康(1993—),男,主要从事肝胆疾病研究

    通信作者:

    脱红芳,touhf@aliyun.com

  • 中图分类号: R735.7

A case of primary hepatic neuroendocrine tumor

  • 图  1  TACE治疗前腹部增强MRI检查结果

    注:a, DWI示多个高信号影;b, 动脉期最大病灶不均匀明显强化;c, 静脉期呈持续性不均匀强化,强化程度略减低。

    图  2  病理及免疫组化结果

    注:a, 病理检查符合肝神经内分泌瘤(HE染色,×100);b, 免疫组化示Syn阳性(×100);c, 免疫组化示CgA阳性(×100)。

    图  3  TACE治疗前后腹部增强MRI对比(动脉期)

    注:a, TACE治疗前最大病灶强化;b, 经3次TACE治疗后最大病灶明显缩小,甚至消失。

    表  1  2019年第5版世界卫生组织消化系统NEN分级

    NEN分级 核分裂像(/10HPF) Ki-67阳性指数(%)
    G1,低级别 <2 <3
    G2,中级别 2~20 3~20
    G3,高级别 >20 >20
    下载: 导出CSV
  • [1] CAMARGO ÉS, VIVEIROS MDE M, CORRÊA NETO IJ, et al. Primary hepatic carcinoid tumor: Case report and literature review[J]. Einstein (Sao Paulo), 2014, 12(4): 505-508. DOI: 10.1590/S1679-45082014RC2745.
    [2] PATHAK S, DASH I, TAYLOR MR, et al. The surgical management of neuroendocrine tumour hepatic metastases[J]. Eur J Surg Oncol, 2013, 39(3): 224-228. DOI: 10.1016/j.ejso.2012.12.001.
    [3] NAGTEGAAL ID, ODZE RD, KLIMSTRA D, et al. The 2019 WHO classification of tumours of the digestive system[J]. Histopathology, 2020, 76(2): 182-188. DOI: 10.1111/his.13975.
    [4] TAO L, XIU D, SADULA A, et al. Surgical resection of primary tumor improves survival of pancreatic neuroendocrine tumor with liver metastases[J]. Oncotarget, 2017, 8(45): 79785-79792. DOI: 10.18632/oncotarget.19523.
    [5] WANG B, YAO DY, XU X, et al. Primary hepatic neuroendocrine tumor: Two case report[J]. Chin J Clin Exp Pathol, 2019, 35(4): 503-504. DOI: 10.13315/j.cnki.cjcep.2019.04.039.

    王博, 姚冬颖, 许欣, 等. 肝脏原发性神经内分泌瘤2例[J]. 临床与实验病理学杂志, 2019, 35(4): 503-504. DOI: 10.13315/j.cnki.cjcep.2019.04.039.
    [6] ORTIZ J, BALASUBRAMANIAN M, BROWN T, et al. Liver transplant for neuroendocrine tumor metastatic to the liver: Literature review and report of extirpation at 16-year recurrence[J]. Exp Clin Transplant, 2015, 13(1): 86-91. DOI: 10.6002/ect.2013.0215.
    [7] LING JK, WANG M, YUAN J, et al. CT and MRI findings of primary hepatic neuroendocrine neoplasm[J]. Chin J Oncol, 2017, 39(8): 600-606. DOI: 10.3760/cma.j.issn.0253-3766.2017.08.008.

    李家开, 王敏, 袁静, 等. 肝脏原发性神经内分泌肿瘤的CT和磁共振成像表现[J]. 中华肿瘤杂志, 2017, 39(8): 600-606. DOI: 10.3760/cma.j.issn.0253-3766.2017.08.008.
    [8] KULKE MH, SHAH MH, BENSON AB 3rd, et al. Neuroendocrine tumors, version 1.2015[J]. J Natl Compr Canc Netw, 2015, 13(1): 78-108. DOI: 10.6004/jnccn.2015.0011.
    [9] GAO WH, XIANG XX. Primary hepatic neuroendocrine neoplasm: A report of 2 cases and literature review[J]. J Clin Hepatol, 2017, 33(6): 1149-1151. DOI: 10.3969/j.issn.1001-5256.2017.06.028.

    高伟华, 向晓星. 原发性肝脏神经内分泌肿瘤2例报告并文献复习[J]. 临床肝胆病杂志, 2017, 33(6): 1149-1151. DOI: 10.3969/j.issn.1001-5256.2017.06.028.
    [10] WEI RG, ZHOU Z, WU HR, et al. Diagnosis and treatment experience of primary hepatic neuroendocrine neoplasm[J/CD]. Chin J Hepat Surg(Electronic Edition), 2018, 7(3): 216-220. DOI: 10.3877/cma.j.issn.2095-3232.2018.03.012.

    魏荣光, 周舟, 吴浩然, 等. 原发性肝脏神经内分泌肿瘤诊治经验[J/CD]. 中华肝脏外科手术学电子杂志, 2018, 7(3): 216-220. DOI: 10.3877/cma.j.issn.2095-3232.2018.03.012.
    [11] HAN Y, LI L, SUN H. Computed tomography and magnetic resonance imaging in the diagnosis of primary neuroendocrine tumors of the liver[J]. World Neurosurg, 2020, 138: 723-731. DOI: 10.1016/j.wneu.2020.01.169.
    [12] AO WQ, WU D, ZENG MS, et al. CT and MRI diagnosis of primary hepatic neuroendocrine carcinoma[J]. Radiol Pract, 2013, 28(10): 1032-1036. https://www.cnki.com.cn/Article/CJFDTOTAL-FSXS201310015.htm

    敖炜群, 吴东, 曾蒙苏, 等. 原发性肝脏神经内分泌癌的CT和MRI诊断[J]. 放射学实践, 2013, 28(10): 1032-1036. https://www.cnki.com.cn/Article/CJFDTOTAL-FSXS201310015.htm
    [13] WANG WQ. Comparison of contrast-enhanced ultrasonography between primary and metastatic neuroendocrine tumors of the liver[J]. Chin Hepatol, 2020, 25(5): 498-500. DOI: 10.3969/j.issn.1008-1704.2020.05.017.

    王文清. 肝脏原发性和转移性神经内分泌肿瘤的超声造影表现对比[J]. 肝脏, 2020, 25(5): 498-500. DOI: 10.3969/j.issn.1008-1704.2020.05.017.
    [14] LI P, YANG XO, QIAN JM. The clinical characteristic of 43 cases of neuroendocrine tumors with liver metastases[J]. Chin J Intern Med, 2012, 51(4): 289-293. DOI: 10.3760/cma.j.issn.0578-1426.2012.04.011.

    李攀, 杨晓鸥, 钱家鸣. 神经内分泌肿瘤肝转移的临床特征与诊治[J]. 中华内科杂志, 2012, 51(4): 289-293. DOI: 10.3760/cma.j.issn.0578-1426.2012.04.011.
    [15] TANER T, ATWELL TD, ZHANG L, et al. Adjunctive radiofrequency ablation of metastatic neuroendocrine cancer to the liver complements surgical resection[J]. HPB (Oxford), 2013, 15(3): 190-195. DOI: 10.1111/j.1477-2574.2012.00528.x.
    [16] LIU YW, CUI GZ, LIU XL, et al. A case of primary hepatic high-grade neuroendocrine carcinoma[J]. J Clinl Hepatol, 2020, 36(1): 161-163. DOI: 10.3969/j.issn.1001-5256.2020.01.036.

    刘宇维, 崔国振, 刘相良, 等. 肝脏原发高级别神经内分泌癌1例报告[J]. 临床肝胆病杂志, 2020, 36(1): 161-163. DOI: 10.3969/j.issn.1001-5256.2020.01.036.
    [17] FOSTER DS, JENSEN R, NORTON JA. Management of liver neuroendocrine tumors in 2018[J]. JAMA Oncol, 2018, 4(11): 1605-1606. DOI: 10.1001/jamaoncol.2018.3035.
  • 加载中
图(3) / 表(1)
计量
  • 文章访问数:  339
  • HTML全文浏览量:  238
  • PDF下载量:  34
  • 被引次数: 0
出版历程
  • 收稿日期:  2020-11-18
  • 录用日期:  2020-12-10
  • 出版日期:  2021-06-20
  • 分享
  • 用微信扫码二维码

    分享至好友和朋友圈

目录

    /

    返回文章
    返回