Esophageal neuroendocrine tumor with initial presentation as painless forehead and neck masses: A case report
Esophageal neuroendocrine tumors (NETs) are a rare type of esophageal tumor which are usually positive for chromogranin A, synaptophysin, and CD56 in tumor immunohistochemical staining. The most common symptoms of esophageal NETs are gastrointestinal symptoms such as dysphagia and/or abdominal disco...
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Published in | Medicine (Baltimore) Vol. 96; no. 50; p. e9282 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
United States
The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved
01.12.2017
Wolters Kluwer Health |
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Online Access | Get full text |
ISSN | 0025-7974 1536-5964 1536-5964 |
DOI | 10.1097/MD.0000000000009282 |
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Abstract | Esophageal neuroendocrine tumors (NETs) are a rare type of esophageal tumor which are usually positive for chromogranin A, synaptophysin, and CD56 in tumor immunohistochemical staining. The most common symptoms of esophageal NETs are gastrointestinal symptoms such as dysphagia and/or abdominal discomfort. While esophageal NETs have the potential for distant metastasis, there have only been a few reports of brain metastasis originating from esophageal NET.
We report the case of a 60-year-old Taiwanese female who initially presented with a 1 month history of painless forehead and bilateral neck masses. She did not complain of any other symptoms, which complicated the diagnosis.
Chest and abdominal computed tomography were arranged for a thorough evaluation, and a paraesophageal lesion as well as multiple metastases in the liver, bilateral adrenal glands, and bone were found. Panendoscopy and pathology confirmed the diagnosis of an esophageal NET.
Best supportive care.
The clinical course of this case deteriorated drastically, and she died of tumor progression 10 days after the diagnosis had been made.
To the best of our knowledge, this is the first article in the literature to report a case of esophageal NET whose initial presentation was painless forehead and bilateral neck masses. Clinicians should be aware of the early signs and symptoms of esophageal NET to allow for a prompt diagnosis. |
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AbstractList | Esophageal neuroendocrine tumors (NETs) are a rare type of esophageal tumor which are usually positive for chromogranin A, synaptophysin, and CD56 in tumor immunohistochemical staining. The most common symptoms of esophageal NETs are gastrointestinal symptoms such as dysphagia and/or abdominal discomfort. While esophageal NETs have the potential for distant metastasis, there have only been a few reports of brain metastasis originating from esophageal NET.
We report the case of a 60-year-old Taiwanese female who initially presented with a 1 month history of painless forehead and bilateral neck masses. She did not complain of any other symptoms, which complicated the diagnosis.
Chest and abdominal computed tomography were arranged for a thorough evaluation, and a paraesophageal lesion as well as multiple metastases in the liver, bilateral adrenal glands, and bone were found. Panendoscopy and pathology confirmed the diagnosis of an esophageal NET.
Best supportive care.
The clinical course of this case deteriorated drastically, and she died of tumor progression 10 days after the diagnosis had been made.
To the best of our knowledge, this is the first article in the literature to report a case of esophageal NET whose initial presentation was painless forehead and bilateral neck masses. Clinicians should be aware of the early signs and symptoms of esophageal NET to allow for a prompt diagnosis. Esophageal neuroendocrine tumors (NETs) are a rare type of esophageal tumor which are usually positive for chromogranin A, synaptophysin, and CD56 in tumor immunohistochemical staining. The most common symptoms of esophageal NETs are gastrointestinal symptoms such as dysphagia and/or abdominal discomfort. While esophageal NETs have the potential for distant metastasis, there have only been a few reports of brain metastasis originating from esophageal NET.RATIONALEEsophageal neuroendocrine tumors (NETs) are a rare type of esophageal tumor which are usually positive for chromogranin A, synaptophysin, and CD56 in tumor immunohistochemical staining. The most common symptoms of esophageal NETs are gastrointestinal symptoms such as dysphagia and/or abdominal discomfort. While esophageal NETs have the potential for distant metastasis, there have only been a few reports of brain metastasis originating from esophageal NET.We report the case of a 60-year-old Taiwanese female who initially presented with a 1 month history of painless forehead and bilateral neck masses. She did not complain of any other symptoms, which complicated the diagnosis.PATIENT CONCERNSWe report the case of a 60-year-old Taiwanese female who initially presented with a 1 month history of painless forehead and bilateral neck masses. She did not complain of any other symptoms, which complicated the diagnosis.Chest and abdominal computed tomography were arranged for a thorough evaluation, and a paraesophageal lesion as well as multiple metastases in the liver, bilateral adrenal glands, and bone were found. Panendoscopy and pathology confirmed the diagnosis of an esophageal NET.DIAGNOSESChest and abdominal computed tomography were arranged for a thorough evaluation, and a paraesophageal lesion as well as multiple metastases in the liver, bilateral adrenal glands, and bone were found. Panendoscopy and pathology confirmed the diagnosis of an esophageal NET.Best supportive care.INTERVENTIONSBest supportive care.The clinical course of this case deteriorated drastically, and she died of tumor progression 10 days after the diagnosis had been made.OUTCOMESThe clinical course of this case deteriorated drastically, and she died of tumor progression 10 days after the diagnosis had been made.To the best of our knowledge, this is the first article in the literature to report a case of esophageal NET whose initial presentation was painless forehead and bilateral neck masses. Clinicians should be aware of the early signs and symptoms of esophageal NET to allow for a prompt diagnosis.LESSONSTo the best of our knowledge, this is the first article in the literature to report a case of esophageal NET whose initial presentation was painless forehead and bilateral neck masses. Clinicians should be aware of the early signs and symptoms of esophageal NET to allow for a prompt diagnosis. |
Author | Chiang, Meng-Ting Chin, Yen-Po Lai, Wei-Fu Chang, Shih-Chieh |
AuthorAffiliation | Faculty of Medicine, National Yang-Ming University, Taipei Division of Chest Medicine, Department of Internal Medicine, National Yang-Ming University Hospital, Yilan, Taiwan |
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References | Chino (R5-135-20210226) 2015; 40 Zhang (R4-135-20210226) 2014; 8 Matsuda (R6-135-20210226) 2014; 31 Weinberg (R3-135-20210226) 2003; 98 Song (R7-135-20210226) 2014; 81 Deng (R8-135-20210226) 2016; 8 Modlin (R1-135-20210226) 2008; 9 Lee (R2-135-20210226) 2014; 14 |
References_xml | – volume: 8 start-page: 1250 year: 2016 ident: R8-135-20210226 article-title: Neuroendocrine carcinoma of the esophagus: clinical characteristics and prognostic evaluation of 49 cases with surgical resection publication-title: J Thorac Dis doi: 10.21037/jtd.2016.04.21 – volume: 9 start-page: 61 year: 2008 ident: R1-135-20210226 article-title: Gastroenteropancreatic neuroendocrine tumours publication-title: Lancet Oncol doi: 10.1016/S1470-2045(07)70410-2 – volume: 40 start-page: 36 year: 2015 ident: R5-135-20210226 article-title: Small cell type of esophageal neuroendocrine carcinoma resembling a submucosal tumor publication-title: Tokai J Exp Clin Med – volume: 14 start-page: 157 year: 2014 ident: R2-135-20210226 article-title: The clinical features and treatment modality of esophageal neuroendocrine tumors: a multicenter study in Korea publication-title: BMC Cancer doi: 10.1186/1471-2407-14-569 – volume: 98 start-page: 1925 year: 2003 ident: R3-135-20210226 article-title: Metastasis of esophageal carcinoma to the brain publication-title: Cancer doi: 10.1002/cncr.11737 – volume: 81 start-page: 131 year: 2014 ident: R7-135-20210226 article-title: Brain metastases from esophageal cancer: clinical review of 26 cases publication-title: World Neurosurg doi: 10.1016/j.wneu.2013.02.058 – volume: 31 start-page: 192 year: 2014 ident: R6-135-20210226 article-title: Esophageal neuroendocrine tumor metastatic to the pineal region publication-title: Brain Tumor Pathol doi: 10.1007/s10014-014-0178-0 – volume: 8 start-page: 1 year: 2014 ident: R4-135-20210226 article-title: Cerebellar, brainstem and spinal cord metastases from esophageal cancer following radiotherapy: a case report and literature review publication-title: Oncol Lett |
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SubjectTerms | Biopsy Clinical Case Report Diagnosis, Differential Diagnostic Imaging Esophageal Neoplasms - diagnosis Fatal Outcome Female Forehead Humans Middle Aged Neck Neuroendocrine Tumors - diagnosis |
Title | Esophageal neuroendocrine tumor with initial presentation as painless forehead and neck masses: A case report |
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