Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Giant atypical carcinoid of the liver with vascular metastases and local sinusoidal invasion: a case report. | Journal of Medical Case Reports BioMed Central Case report Open Access Giant atypical carcinoid of the liver with vascular metastases and local sinusoidal invasion a case report Daniel Lingamfelter 1 Laura Hoffman2 Amit Verma3 William DePond1 and Kamani Lankachandra1 Address Department of Pathology University of Missouri-Kansas City School of Medicine and Truman Medical Center Kansas City Missouri USA 2University of Missouri-Kansas City School of Medicine and Truman Medical Center Kansas City Missouri USA and 3Department of Radiology University of Missouri-Kansas City School of Medicine and Truman Medical Center Kansas City Missouri USA Email Daniel Lingamfelter - Laura Hoffman - lmh9p4@ Amit Verma - William DePond - Kamani Lankachandra - Corresponding author Published 12 July 2007 Received 14 December 2006 Journal of Medical Case Reports 2007 1 47 doi 1752-1947-1-47 Accepted 12 July 2007 This article is available from http c0ntent 1 1 47 2007 Lingamfelter et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract We present the case of a 46 year old woman with a giant 23-centimeter atypical carcinoid of the liver. A primary site for this neoplasm could not be identified despite multiple radiographic imaging studies including a somatostatin scan and a thorough inspection of the bowel during surgical resection of the lesion. Histologically the tumor displayed mild cytologic atypia abundant necrosis and intravascular metastases the last feature of which was identified by immunohistochemical markers for chromogranin and synaptophysin. Also described is the unusual .