Difficulties in the Diagnosis of Neuroendocrine Tumors Metastases. Clinical Case
https://doi.org/10.37174/2587-7593-2024-7-3-87-95
Abstract
In this clinical case we analyzed the need for a correct algorithm for examining patients with liver tumors when making a primary diagnosis, thus it significantly affects the prognosis and course of the disease. We demonstrate capabilities of various diagnostic methods in the differential diagnosis of focal liver lesions. Our clinical case confirms the need for optimal routing schemes for patients to specialized centers that have all necessary resources to perform all types of diagnostic methods, including nuclear medicine diagnosis, as well as the presence of a multidisciplinary team of specialists. The article is illustrated with original images of nuclear medicine studies, CT and MRI images.
About the Authors
S. M. KaspshikRussian Federation
Stepan M. Kaspshik
AuthorID: 707707
24 Kashirskoe Shosse, Moscow, 115478
Competing Interests:
The authors declare no conflict of interest
B. M. Medvedeva
Russian Federation
Bela M. Medvedeva
24 Kashirskoe Shosse, Moscow, 115478
Competing Interests:
The authors declare no conflict of interest
A. A. Markovich
Russian Federation
Alla A. Markovich
AuthorID: 898498
24 Kashirskoe Shosse, Moscow, 115478
Competing Interests:
The authors declare no conflict of interest
A. D. Ryzhkov
Russian Federation
Alexey D. Ryzhkov
24 Kashirskoe Shosse, Moscow, 115478
Competing Interests:
The authors declare no conflict of interest
E. V. Artamonova
Russian Federation
Elena V. Artamonova
AuthorID: 707707
24 Kashirskoe Shosse, Moscow, 115478
Competing Interests:
The authors declare no conflict of interest
S. N. Prokhorov
Russian Federation
Sergey N. Prokhorov
24 Kashirskoe Shosse, Moscow, 115478
Competing Interests:
The authors declare no conflict of interest
A. I. Pronin
Russian Federation
Artem I. Pronin
AuthorID: 901077
24 Kashirskoe Shosse, Moscow, 115478
Competing Interests:
The authors declare no conflict of interest
T. M. Geliashvili
Russian Federation
Tamara M. Geliashvil
AuthorID: 1051967
24 Kashirskoe Shosse, Moscow, 115478
Competing Interests:
The authors declare no conflict of interest
M. E. Bilik
Russian Federation
Maria E. Bilik
AuthorID: 976615
24 Kashirskoe Shosse, Moscow, 115478
Competing Interests:
The authors declare no conflict of interest
A. S. Krylov
Russian Federation
Alexander S. Krylov
AuthorID: 723683
ScopusID: 57192816516
24 Kashirskoe Shosse, Moscow, 115478
Competing Interests:
The authors declare no conflict of interest
References
1. Kaspshik SM, Artamonova EV, Markovich AA, et al. Myths about inexpediency of carrying out peptide receptor radio nuclide diagnostics in patients with neuroendocrine tumors. Medical alphabet. 2021;(19):18-22. (In Russ.). https://doi.org/10.33667/2078-5631-2021-19-18-22.
2. Voskanyan SE, Artemiev AI, Naidenov EV, et al. Liver trans plantation for metastases from neuroendocrine tumors: a literature review and clinical observation. Annaly khirurgicheskoy gepatologii. 2022;27(3):33-45. (In Russ.). https://doi.org/10.16931/1995-5464.2022-3-33-45.
3. Bonaccorsi-Riani E, Apestegui C, Jouret-Mourinet A, et al. Liver transplantation and neuroendocrine tumors: Lessons from a single centre experience and from the Literature Re view. Transplant International. 2010;23(7):668-78. https://doi.org/10.1111/j.1432-2277.2010.01086.x.
4. Le Treut YP, Grégoire E, Belghiti J, et al. Predictors of long-term survival aſter liver transplantation for metastatic endocrine tumors: An 85-case French multicentric report. Ameri can Journal of Transplantation, 2008;8:1205-13. https://doi.org/10.1111/j.1600-6143.2008.02233.x.
5. NCCN Clinical Practice Guidelines in Oncology. Neuroendocrine and Adrenal Tumors. Version 1. 2024 — June 20, 2024. https://www.nccn.org/professionals/physician_gls/pdf/neuroendocrine.pdf.
6. Gorbunova VA, Alekseeva TR, Beltsevich DG. Neuroendo crine tumors. General principles of diagnosis and treatment. Practical guide. Moscow, 2021. (In Russ.).
7. Kaspshik SM, Dolgushin MB, Artamonova EV, et al. Clinical utility of scintigraphy and SPECT/CT with 99mTc-Tectrotyd in patients with neuroendocrine tumors. Medical alphabet. 2020;(20):42-5. (In Russ.). https://doi.org/10.33667/2078-5631-2020-20-42-45.
Review
For citations:
Kaspshik S.M., Medvedeva B.M., Markovich A.A., Ryzhkov A.D., Artamonova E.V., Prokhorov S.N., Pronin A.I., Geliashvili T.M., Bilik M.E., Krylov A.S. Difficulties in the Diagnosis of Neuroendocrine Tumors Metastases. Clinical Case. Journal of oncology: diagnostic radiology and radiotherapy. 2024;7(3):87-95. (In Russ.) https://doi.org/10.37174/2587-7593-2024-7-3-87-95