FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 352:2456-2457 June 9, 2005 Number 23 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF PDA Full Text Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited E-mail When Letters Appear PubMed Citation

To the Editor: A previously healthy 78-year-old woman presented with facial flushing, palpitations, diarrhea, and generalized weakness. The serum serotonin level was markedly elevated (2233 ng per milliliter; normal, <180), as was urinary excretion of 5-hydroxyindoleacetic acid (5-HIAA) (118.7 mg per 24 hours; normal, <6.0), and a computed tomographic (CT) scan revealed a small-bowel mass, 3 cm by 2.5 cm, with multiple hepatic lesions. Fine-needle liver biopsy demonstrated cytokeratin- and chromogranin-staining cells, which are characteristic of carcinoid tumor. Despite monthly injections of octreotide, the patient's flushing persisted, and a CT scan showed enlargement of both small-bowel and liver masses. She . . . [Full Text of this Article]

This article has been cited by other articles:

• Rudzinski, T., Ciesielczyk, M., Religa, W., Bednarkiewicz, Z., Krzeminska-Pakula, M. (2007). Doxorubicin-induced ventricular arrhythmia treated by implantation of an automatic cardioverter-defibrillator. Europace 9: 278-280 [Abstract] [Full Text]