1/11. Late mediastinal shift after repeated aspiration of postpneumonectomy seroma.Development of a postoperative seroma is a frequent complication after muscle-sparing thoracotomy. We describe an unusual case of late mediastinal shift in a patient in whom our original plan to perform a limited muscle-sparing thoracotomy was abandoned. The procedure was converted to a standard posterolateral incision to perform a pneumonectomy for a large central carcinoid tumor with extrabronchial extension. Fluid that accumulated in her pneumonectomy space presumably shifted into the dissected tissues of her chest wall, and was then drained repeatedly by her local physician in the time interval between 2 weeks and 3 months after surgery.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/11. Case report of metastatic carcinoid tumor to the neck.Since their origianl description in 1838 carcinoid tumors have interested physicians. This case represents another unusual presents another unusual presentation of a carcinoid tumor in which the cervical area has rarely been reported. In addition, it demonstrates the elusiveness of the tumor despite exhaustive diagnostic studies.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
3/11. octreotide-induced bradycardia and heart block during surgical resection of a carcinoid tumor.octreotide may be a life-saving treatment in the case of an acute carcinoid crisis, but when given as an i.v. bolus in larger doses, it may cause significant effects on the cardiac conduction system. We describe cardiac conduction impairment observed during octreotide administration in a patient undergoing carcinoid tumor surgery. In this patient, i.v. boluses of 100 microg of octreotide resulted in symptomatic bradycardia, Mobitz type II atrioventricular block, and complete heart block. Perioperative physicians especially need to be aware of these potential effects because they may be more likely to occur during surgery because of the larger doses and boluses that are used to treat acute symptoms secondary to tumor manipulation. IMPLICATIONS: In some susceptible patients, i.v. bolus administration of octreotide may cause significant bradycardia and cardiac conduction defects. Therefore, when octreotide is administered as a bolus, it may be advisable to give it slowly while monitoring the electrocardiogram.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
4/11. Rare case of carcinoid tumor arising within teratoma in kidney.Not all enhancing lesions in the kidney are renal cell carcinoma. We report a rare case of a carcinoid tumor arising within a teratoma of the kidney in an asymptomatic female patient. Carcinoid tumors and teratomas involving the kidneys are rare. The two entities existing simultaneously in the same kidney are exceptionally unique. Still, the radiographic characteristics of these lesions have been previously described and should be familiar to practicing physicians.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
5/11. Metastatic ossified gastric carcinoid with hypergastrinemia associated with gastric and thyroid autoantibodies.A 42-year-old white woman was seen by her physician because of somatic complaints of the neck and right arm discomfort, difficulty in swallowing, and "heartburn." Findings of the workup led to the diagnosis of metastatic ossified gastric carcinoid. review of the literature suggests that this is the third report of ossified gastric carcinoid. However, this is the only case in which such a tumor was associated with hypergastrinemia, gastric (antiparietal cell), and thyroid (antimicrosomal) autoantibodies.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
6/11. Ileal carcinoid tumor complicated by retroperitoneal fibrosis and a prolactinoma.A patient with mid-gut carcinoid tumor and the unusual complication of retroperitoneal fibrosis was also found to have a prolactinoma. This case brings the number of reported mid-gut carcinoid tumors complicated by a second endocrine neoplasm to five. Three of the second tumors were parathyroid in origin, and the fourth was an insulinoma. In view of the rarity of second tumors and in the absence of documented familial occurrence, it is inappropriate to exhaustively study each person with mid-gut carcinoid tumor, or their families, for a second endocrine neoplasm; however, physicians caring for patients with mid-gut carcinoid should be aware that second tumors are possible. retroperitoneal fibrosis is also a rare complication of carcinoid, but can be associated with renal failure that can be prevented by surgical intervention. Thus, physicians caring for patients with the carcinoid syndrome should also be aware of this complication.- - - - - - - - - - ranking = 2keywords = physician (Clic here for more details about this article) |
7/11. Chronic pancreatitis and pseudocyst formation secondary to carcinoid tumor of the pancreas.The incidence of chronic pancreatitis has been increasing in the western world. Although chronic alcohol abuse accounts for 90% of adult cases, the physician must be aware of the multiplicity of causes for chronic pancreatitis. We present a case of obstruction of the pancreatic duct and chronic pancreatitis caused by a primary carcinoid tumor.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
8/11. Benign pulmonary tumors.Benign pulmonary neoplasms are relatively uncommon. The symptoms vary, depending on the location of the tumor. Specific diagnosis can be a time-consuming process and requires an orderly plan. Polytomography or computed tomographic scan, bronchoscopy, percutaneous biopsy or thoracotomy may be required. Tissue diagnosis must be sought. Surgical resection is the usual treatment. The family physician should act as coordinator, since multiple consultations may be necessary.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
9/11. Malignant tumors associated with carcinoid tumors of the gastrointestinal tract.Twenty-three associated malignant neoplasms mostly adenocarcinomas were recognized in 96 patients with gastrointestinal carcinoid tumors, between 1968 and 1977 at the University of Rochester Medical Center. Associated malignancies were present in 17 patients, affected various organs and led to an early death even though the carcinoid tumors generally remained localized. There was a 36% incidence of a second malignant neoplasm in patients with ileal carcinoid, but no second tumor in patients with carcinoid of the rectum. The presence of a carcinoid tumor should alert the physician to search for a second neoplasm.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
10/11. somatostatin-receptor scintigraphy of subcutaneous and thyroid metastases from bronchial carcinoid.We present a case of bronchial carcinoid tumor with multiple metastases in the retina, subcutaneous tissues and thyroid gland. These metastatic lesions were detected by 111In-pentetreotide scintigraphy 15 yr after removal of the primary tumor. The extensive metastatic involvement documented on scintigraphy spared the patient unnecessary total thyroidectomy and directed the attention of the primary physician to previously unknown and potentially more important foci of metastatic disease.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
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