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Cardioesophageal carcinoid: multidisciplinary approach to diagnosis

Journal: I.P. Pavlov Russian Medical Biological Herald (Vol.27, No. 4)

Publication Date:

Authors : ;

Page : 512-519

Keywords : carcinoid; neuroendocrine tumor; cardioesophageal section; esophagus; stomach; X-ray method;

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Cardioesophageal carcinoid is a rare neuroendocrine neoplasm. Diagnosis and treatment are especially difficult in case of proximal localization of the gastric lesion (in the region of cardia) which requires a complex multidisciplinary approach. The clinical presentation of gastric carcinoid is in most cases nonspecific, and the tumor is accidentally detected in endoscopic exa-mination for the pain syndrome, dyspepsia, anemia, etc. Thus, all said above makes tumors of cardioesophageal zone a rather actual problem. In this article, on an example of patient K., of 61 years of age, possibilities of a complex approach to diagnosis and treatment of a complicated case of cardioesophageal carcinoid are shown. Conclusion. Diagnosis of carcinoid tumors is difficult and requires a multidisciplinary approach. The algorithm of diagnostic search and treatment tactics should suggest an individual approach in each clinical case which permits to make a correct diagnosis and to successfully reali-ze a required complex of medical measures.

Last modified: 2020-01-21 18:04:41