Annals of Internal Medicine: Clinical Cases (May 2024)

Primary Hepatic Neuroendocrine Tumor in a Patient With Tuberous Sclerosis

  • Lindsey Farmer,
  • Julie Rowe

DOI
https://doi.org/10.7326/aimcc.2023.0951
Journal volume & issue
Vol. 3, no. 5

Abstract

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Tuberous sclerosis is a rare multisystemic disease with common benign manifestations. However, recent research suggests a rare association with malignant tumors. We describe the case of a primary hepatic neuroendocrine tumor in a patient with tuberous sclerosis that is, to our knowledge, unique in the literature. A 23-year-old woman with tuberous sclerosis presented with an enlarging liver mass. Biopsy specimen pathology was consistent with a neuroendocrine tumor. She received chemotherapy and had an extensive resection which revealed a 12-cm, well-differentiated, primary hepatic neuroendocrine tumor.