ABSTRACT
An 80-year-old man with gastrointestinal hemorrhage was found to have primary choriocarcinoma of the stomach with liver metastases. Review of the literature revealed that this patient had the highest reported level of beta human chorionic gonadotrophin.
Subject(s)
Choriocarcinoma/secondary , Liver Neoplasms/secondary , Stomach Neoplasms/pathology , Aged , Aged, 80 and over , Choriocarcinoma/blood , Choriocarcinoma/diagnostic imaging , Chorionic Gonadotropin/blood , Gastrointestinal Hemorrhage/etiology , Humans , Liver Neoplasms/blood , Liver Neoplasms/diagnostic imaging , Male , Stomach Neoplasms/blood , Stomach Neoplasms/diagnostic imaging , Tomography, X-Ray ComputedABSTRACT
A patient with carcinoid tumor of the head of pancreas and carcinoid syndrome presented without liver metastasis. The patient had retroperitoneal lymphadenopathy. He had symptoms of flushing, diarrhea and abdominal pain. 5-Hydroxyindoleacetic acid (5-HIAA) was elevated. Absence of liver metastasis was documented not only by the negative computed tomography (CT) scan and liver/spleen scan, but also by autopsy. Except for carcinoid arising from ovary, testis, or bronchi, the other carcinoid tumors rarely cause carcinoid syndrome without liver metastasis. The literature was reviewed, and the findings are presented.
Subject(s)
Carcinoid Tumor/complications , Malignant Carcinoid Syndrome/etiology , Pancreatic Neoplasms/complications , Carcinoid Tumor/diagnostic imaging , Carcinoid Tumor/pathology , Carcinoid Tumor/secondary , Humans , Liver Neoplasms/secondary , Male , Middle Aged , Pancreas/diagnostic imaging , Pancreas/pathology , Pancreatic Neoplasms/diagnostic imaging , Pancreatic Neoplasms/pathology , Tomography, X-Ray ComputedABSTRACT
Discussion in this article is focused on the advantages and applications of plastic-embedded bone marrow biopsy sections in the evaluation of bone marrow pathology. Routine processing of bone marrow biopsy specimens for plastic embedding and electron microscopy is also briefly described.
Subject(s)
Bone Marrow/pathology , Bone Marrow/ultrastructure , Bone Marrow Examination/methods , Histological Techniques/instrumentation , Humans , Microscopy, Electron/methodsABSTRACT
We report a case of plasmacytoma of the testis without evidence of bone or immunoglobulin abnormalities. The presentation, evaluation and management of this extremely unusual tumor are reviewed.