Interventional treatment of the carcinoid syndrome

• Liver metastases imply a major problem in patients with carcinoid tumours and hormone overproduction. Patients with distant metastases can undergo resection for potential cure or for symptom palliation. In patients with bilobar liver metastases other interventions are at hand, e.g. local ablation or hepatic arterial embolization. In selected cases liver transplantation can be a treatment alternative. Prior to all interventions patients with midgut carcinoids are protected with somatostatin analogues to reduce hormone secretion. Patients with foregut carcinoids may present special problems with life-threatening release of histamine during interventions.

Keyword

Carcinoid Tumor/complications/*therapy

Drug Therapy/methods

Embolization

Therapeutic/methods

Gastrointestinal Neoplasms/complications/*therapy

Humans

Liver Neoplasms/surgery

Mastectomy

Segmental/methods

Models

Biological

Preoperative Care/methods

Somatostatin/analogs & derivatives/therapeutic use

Treatment Outcome

Publication and Content Type

ref (subject category)

art (subject category)