A rare cause of multiple liver metastases in a 65-year-old man

Jarosław Koza; Ariel Liebert

doi:10.5114/pm.2023.135032

eISSN: 2081-2833
ISSN: 2081-0016

Medycyna Paliatywna/Palliative Medicine

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4/2023
vol. 15

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abstract:

Case report

A rare cause of multiple liver metastases in a 65-year-old man

Jarosław Koza

^{1, 2}

,

Ariel Liebert

^{1, 2}

Department of Gastroenterology and Nutrition Disorders, Faculty of Health Sciences, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Poland

Clinic of Gastroenterology, Jan Biziel University Hospital No. 2 in Bydgoszcz, Poland

Medycyna Paliatywna 2023; 15(4): 216–219

DOI: https://doi.org/10.5114/pm.2023.135032

Online publish date: 2024/02/13

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This article presents the case of a 65-year-old man who was admitted to hospital due to persistent diarrhoea and unintentional weight loss. During the initial diagnosis, ultrasound examination revealed numerous liver metastases, the most common causes of which are colon, lung, and breast cancers. However, in the presented case, further diagnostics revealed a highly malignant duodenal neuroendocrine tumour. Two years earlier, primary hyperparathyroidism was diagnosed, but this problem was neglected by the patient. The mentioned diseases can be a clinical manifestation of multiple endocrine neoplasia type 1 syndrome. Unfortunately, the patient died before the final diagnosis. The daughter of the patient was also encouraged to check for the disease. Extraordinarily, she was totally uninterested. Denial about terminal cancer and disregard of its consequences is a palliative issue affecting not only patients but also their families.

keywords:

A rare cause of multiple liver metastases in a 65-year-old man

Jarosław Koza 1, 2 , Ariel Liebert 1, 2

neuroendocrine tumour, liver metastases, multiple endocrine neoplasia type 1 (MEN1), denial about terminal cancer

Jarosław Koza

^{1, 2}

,

Ariel Liebert

^{1, 2}