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World Journal of Surgical Oncology

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Open Access 01-12-2014 | Case report

Spontaneous rupture of hepatic metastasis from small cell neuroendocrine carcinoma of maxillary sinus

Authors: Yun-fei Duan, Yan Tan, Bo Yuan, Feng Zhu

Published in: World Journal of Surgical Oncology | Issue 1/2014

Abstract

Background

Small cell neuroendocrine carcinoma of the maxillary sinus, a rare malignant tumor, has a poor prognosis because of its high incidence of metastasis. Moreover, metastatic cancer-induced hepatic rupture, characterized by hemoperitoneum, is infrequent, although several lines of evidences have reported that a wide variety of other neoplasms can cause this usually fatal manifestation.

Case presentation

We now present the first case of a 49-year-old man with spontaneous rupture of hepatic metastasis from small cell neuroendocrine carcinoma of the maxillary sinus and ultimately resulted in massive intraperitoneal bleeding, which was successfully controlled by subsequent surgery (partial hepatectomy). The postoperative clinical manifestation of the patient was uneventful. He was discharged on the 16th day after operation and without any complication.

Conclusions

Small cell neuroendocrine carcinoma of the maxillary sinus is very scarce and unfortunately has a poor prognosis. It has potential to cause spontaneous metastatic rupture which can elicit fatal hemorrhage. Emergency surgery is effective, although the long-term outcome is still unsatisfactory.

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Title: Spontaneous rupture of hepatic metastasis from small cell neuroendocrine carcinoma of maxillary sinus
Authors: Yun-fei Duan
Yan Tan
Bo Yuan
Feng Zhu
Publication date: 01-12-2014
Publisher: BioMed Central
Published in: World Journal of Surgical Oncology / Issue 1/2014
Electronic ISSN: 1477-7819
DOI: https://doi.org/10.1186/1477-7819-12-126

At a glance: The STEP trials

Springer Medicine

Spontaneous rupture of hepatic metastasis from small cell neuroendocrine carcinoma of maxillary sinus

Abstract

Background

Case presentation

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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