1998 Volume 38 Issue 1 Pages 63-68
A 62-year-old woman had undergone right middle and lower bilobectomy with resection of the left atrium for an atypical pulmonary carcinoid in March 1991, and the postsurgical pathological stage was pT4N1M1 (pm2). As she had a left breast metastasis 4 years and 3 months later, a quadrantectomy was performed in August 1995. In Nov. 1995, she developed the symptoms of carcinoid syndrome. Serum serotonin, serum 5-HIAA and urine 5-HIAA were much higher than normal. Injections of octreotide relieved symptoms. Other metastases were found at the bronchial stump in April 1996, the abdomen in Oct. 1996 and the right breast in March 1997, and were treated when detected. Head skin and abdominal wall metastases were observed, after 6 years and 9 months from the resection of the primary lesion.
