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Case Reports in Surgery
Volume 2014, Article ID 456509, 4 pages
http://dx.doi.org/10.1155/2014/456509
Case Report

Giant Hepatic Carcinoid: A Rare Tumor with a Favorable Prognosis

1Department of Surgery, St Elizabeth Hospital, Avenue De Fré 206, 1180 Brussels, Belgium
2Department of Medicine, Clinique La Ramée, Avenue Boetendael 34, 1180 Brussels, Belgium

Received 1 November 2013; Accepted 31 December 2013; Published 9 February 2014

Academic Editors: D. J. Bentrem, A. Cho, and B. H. Lang

Copyright © 2014 Serge Landen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Primary hepatic carcinoids are rare tumors that are often diagnosed at a locally advanced stage. Their primary nature can only be ascertained after thorough investigations and long-term follow-up to exclude another primary origin. As with secondary neuroendocrine liver tumors, surgical resection remains the mainstay of therapy. Despite their large size and often central location liver resection is often feasible, offering long-term survival and cure to most patients. In selected patients liver transplantation appears to be a good indication for tumors not amenable to liver resection. An aggressive surgical attitude is therefore warranted. We report a large and unusually fast-growing liver carcinoid that appeared only marginally resectable in a patient who remains free of disease four years after surgery.