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- W2084667044 abstract "症例は71歳，女性．2006年近医で胆嚢結石症・胆嚢ポリープに対して腹腔鏡下胆嚢摘出術を施行した際に，S2，S5に1cm大の肝腫瘍を指摘されたが経過観察としていた．2007年9月に腫瘍径の増大と，新病変を認めたため当科紹介となった．CTにてS3，S5，S8に動脈相，平衡相にて腫瘍内部よりゆっくりと造影され，転移性肝癌，胆管細胞癌などを疑った．上部下部消化管検査，およびpositoron emission tonography（PET）検査を施行するも肝以外に腫瘍性病変を認めず，腫瘍マーカー（AFP，PIVKAII，CEA，CA19-9）も陰性であったため，肝生検を行いchromogranin Aが陽性，synaptophysinが弱陽性であり肝原発carcinoid腫瘍と診断した．治療は肝左葉切除，S5，S8部分切除を施行し，現在外来通院中である．carcinoid腫瘍は74％が消化管に原発すると報告されており，肝臓に原発することは稀であるため，文献的考察を加え報告する．" @default.
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- W2084667044 date "2009-01-01" @default.
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- W2084667044 title "A CASE OF PRIMARY HEPATIC CARCINOID TUMOR" @default.
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