{"id":"https://openalex.org/W7166861451","doi":"https://doi.org/10.21474/ijar01/23627","title":"PULMONARY LESION MIMICKING A PRIMARY LUNG TUMOR: METASTATIC LOCALIZATION OF A PRIMARY HEPATIC NEUROENDOCRINE TUMOR - A CASE REPORT","display_name":"PULMONARY LESION MIMICKING A PRIMARY LUNG TUMOR: METASTATIC LOCALIZATION OF A PRIMARY HEPATIC NEUROENDOCRINE TUMOR - A CASE REPORT","publication_year":2026,"publication_date":"2026-06-30","ids":{"openalex":"https://openalex.org/W7166861451","doi":"https://doi.org/10.21474/ijar01/23627"},"language":"en","primary_location":{"id":"doi:10.21474/ijar01/23627","doi":"https://doi.org/10.21474/ijar01/23627","is_oa":true,"landing_page_url":"https://doi.org/10.21474/ijar01/23627","pdf_url":"https://www.journalijar.com/uploads/2026/06/6a423e3642f33_IJAR-58102.pdf","source":{"id":"https://openalex.org/S4210206230","display_name":"International Journal of Advanced Research","issn_l":"2320-5407","issn":["2320-5407"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Advanced Research","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://www.journalijar.com/uploads/2026/06/6a423e3642f33_IJAR-58102.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5129411933","display_name":"Jihane Jaouani","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210108110","display_name":"Mohamed I University","ror":"https://ror.org/01ejxf797","country_code":"MA","type":"education","lineage":["https://openalex.org/I4210108110"]},{"id":"https://openalex.org/I4210141296","display_name":"Centre Hospitalo-Universitaire Mohammed VI d'Oujda","ror":"https://ror.org/04bmqy315","country_code":"MA","type":"healthcare","lineage":["https://openalex.org/I4210141296"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Jihane Jaouani","raw_affiliation_strings":["1. Department of Respiratory Diseases, Mohammed VI University Hospital, Avenue Thami jilali 60050 Oujda, Maroc - Faculty of Medicine and Pharmacy of Oujda, Mohammed first University Oujda,Hay al Hikma, BP 4867, 60049 Oujda, Maroc"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1. Department of Respiratory Diseases, Mohammed VI University Hospital, Avenue Thami jilali 60050 Oujda, Maroc - Faculty of Medicine and Pharmacy of Oujda, Mohammed first University Oujda,Hay al Hikma, BP 4867, 60049 Oujda, Maroc","institution_ids":["https://openalex.org/I4210108110","https://openalex.org/I4210141296"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5028237953","display_name":"Fatima El Allam","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210108110","display_name":"Mohamed I University","ror":"https://ror.org/01ejxf797","country_code":"MA","type":"education","lineage":["https://openalex.org/I4210108110"]},{"id":"https://openalex.org/I4210141296","display_name":"Centre Hospitalo-Universitaire Mohammed VI d'Oujda","ror":"https://ror.org/04bmqy315","country_code":"MA","type":"healthcare","lineage":["https://openalex.org/I4210141296"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Fatima El Allam","raw_affiliation_strings":["1. Department of Respiratory Diseases, Mohammed VI University Hospital, Avenue Thami jilali 60050 Oujda, Maroc - Faculty of Medicine and Pharmacy of Oujda, Mohammed first University Oujda,Hay al Hikma, BP 4867, 60049 Oujda, Maroc"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1. Department of Respiratory Diseases, Mohammed VI University Hospital, Avenue Thami jilali 60050 Oujda, Maroc - Faculty of Medicine and Pharmacy of Oujda, Mohammed first University Oujda,Hay al Hikma, BP 4867, 60049 Oujda, Maroc","institution_ids":["https://openalex.org/I4210108110","https://openalex.org/I4210141296"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5130964828","display_name":"Fatima Zahra Moullablad","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210108110","display_name":"Mohamed I University","ror":"https://ror.org/01ejxf797","country_code":"MA","type":"education","lineage":["https://openalex.org/I4210108110"]},{"id":"https://openalex.org/I4210141296","display_name":"Centre Hospitalo-Universitaire Mohammed VI d'Oujda","ror":"https://ror.org/04bmqy315","country_code":"MA","type":"healthcare","lineage":["https://openalex.org/I4210141296"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Fatima Zahra Moullablad","raw_affiliation_strings":["1. Department of Respiratory Diseases, Mohammed VI University Hospital, Avenue Thami jilali 60050 Oujda, Maroc - Faculty of Medicine and Pharmacy of Oujda, Mohammed first University Oujda,Hay al Hikma, BP 4867, 60049 Oujda, Maroc"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1. Department of Respiratory Diseases, Mohammed VI University Hospital, Avenue Thami jilali 60050 Oujda, Maroc - Faculty of Medicine and Pharmacy of Oujda, Mohammed first University Oujda,Hay al Hikma, BP 4867, 60049 Oujda, Maroc","institution_ids":["https://openalex.org/I4210108110","https://openalex.org/I4210141296"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5106348991","display_name":"Lakhal Mohammed","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210108110","display_name":"Mohamed I University","ror":"https://ror.org/01ejxf797","country_code":"MA","type":"education","lineage":["https://openalex.org/I4210108110"]},{"id":"https://openalex.org/I4210141296","display_name":"Centre Hospitalo-Universitaire Mohammed VI d'Oujda","ror":"https://ror.org/04bmqy315","country_code":"MA","type":"healthcare","lineage":["https://openalex.org/I4210141296"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Mohammed Lakhal","raw_affiliation_strings":["1. Department of Respiratory Diseases, Mohammed VI University Hospital, Avenue Thami jilali 60050 Oujda, Maroc - Faculty of Medicine and Pharmacy of Oujda, Mohammed first University Oujda,Hay al Hikma, BP 4867, 60049 Oujda, Maroc"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1. Department of Respiratory Diseases, Mohammed VI University Hospital, Avenue Thami jilali 60050 Oujda, Maroc - Faculty of Medicine and Pharmacy of Oujda, Mohammed first University Oujda,Hay al Hikma, BP 4867, 60049 Oujda, Maroc","institution_ids":["https://openalex.org/I4210108110","https://openalex.org/I4210141296"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038475601","display_name":"Sara Gartini","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210108110","display_name":"Mohamed I University","ror":"https://ror.org/01ejxf797","country_code":"MA","type":"education","lineage":["https://openalex.org/I4210108110"]},{"id":"https://openalex.org/I4210141296","display_name":"Centre Hospitalo-Universitaire Mohammed VI d'Oujda","ror":"https://ror.org/04bmqy315","country_code":"MA","type":"healthcare","lineage":["https://openalex.org/I4210141296"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Sara Gartini","raw_affiliation_strings":["1. Department of Respiratory Diseases, Mohammed VI University Hospital, Avenue Thami jilali 60050 Oujda, Maroc - Faculty of Medicine and Pharmacy of Oujda, Mohammed first University Oujda,Hay al Hikma, BP 4867, 60049 Oujda, Maroc"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1. Department of Respiratory Diseases, Mohammed VI University Hospital, Avenue Thami jilali 60050 Oujda, Maroc - Faculty of Medicine and Pharmacy of Oujda, Mohammed first University Oujda,Hay al Hikma, BP 4867, 60049 Oujda, Maroc","institution_ids":["https://openalex.org/I4210108110","https://openalex.org/I4210141296"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5057240576","display_name":"Meriem Rhazari","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210108110","display_name":"Mohamed I University","ror":"https://ror.org/01ejxf797","country_code":"MA","type":"education","lineage":["https://openalex.org/I4210108110"]},{"id":"https://openalex.org/I4210141296","display_name":"Centre Hospitalo-Universitaire Mohammed VI d'Oujda","ror":"https://ror.org/04bmqy315","country_code":"MA","type":"healthcare","lineage":["https://openalex.org/I4210141296"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Meriem Rhazari","raw_affiliation_strings":["1. Department of Respiratory Diseases, Mohammed VI University Hospital, Avenue Thami jilali 60050 Oujda, Maroc - Faculty of Medicine and Pharmacy of Oujda, Mohammed first University Oujda,Hay al Hikma, BP 4867, 60049 Oujda, Maroc"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1. Department of Respiratory Diseases, Mohammed VI University Hospital, Avenue Thami jilali 60050 Oujda, Maroc - Faculty of Medicine and Pharmacy of Oujda, Mohammed first University Oujda,Hay al Hikma, BP 4867, 60049 Oujda, Maroc","institution_ids":["https://openalex.org/I4210108110","https://openalex.org/I4210141296"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022811304","display_name":"Afaf Thouil","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210108110","display_name":"Mohamed I University","ror":"https://ror.org/01ejxf797","country_code":"MA","type":"education","lineage":["https://openalex.org/I4210108110"]},{"id":"https://openalex.org/I4210141296","display_name":"Centre Hospitalo-Universitaire Mohammed VI d'Oujda","ror":"https://ror.org/04bmqy315","country_code":"MA","type":"healthcare","lineage":["https://openalex.org/I4210141296"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Afaf Thouil","raw_affiliation_strings":["1. Department of Respiratory Diseases, Mohammed VI University Hospital, Avenue Thami jilali 60050 Oujda, Maroc - Faculty of Medicine and Pharmacy of Oujda, Mohammed first University Oujda,Hay al Hikma, BP 4867, 60049 Oujda, Maroc.              2. Research and Medical Sciences Laboratory, Faculty of Medicine and Pharmacy of Oujda, Mohammed first University Oujda"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1. Department of Respiratory Diseases, Mohammed VI University Hospital, Avenue Thami jilali 60050 Oujda, Maroc - Faculty of Medicine and Pharmacy of Oujda, Mohammed first University Oujda,Hay al Hikma, BP 4867, 60049 Oujda, Maroc.              2. Research and Medical Sciences Laboratory, Faculty of Medicine and Pharmacy of Oujda, Mohammed first University Oujda","institution_ids":["https://openalex.org/I4210108110","https://openalex.org/I4210141296"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5082085241","display_name":"Hatim Kouismi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210108110","display_name":"Mohamed I University","ror":"https://ror.org/01ejxf797","country_code":"MA","type":"education","lineage":["https://openalex.org/I4210108110"]},{"id":"https://openalex.org/I4210141296","display_name":"Centre Hospitalo-Universitaire Mohammed VI d'Oujda","ror":"https://ror.org/04bmqy315","country_code":"MA","type":"healthcare","lineage":["https://openalex.org/I4210141296"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Hatim Kouismi","raw_affiliation_strings":["1. Department of Respiratory Diseases, Mohammed VI University Hospital, Avenue Thami jilali 60050 Oujda, Maroc - Faculty of Medicine and Pharmacy of Oujda, Mohammed first University Oujda,Hay al Hikma, BP 4867, 60049 Oujda, Maroc.           2. Research and Medical Sciences Laboratory, Faculty of Medicine and Pharmacy of Oujda, Mohammed first University Oujda"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1. Department of Respiratory Diseases, Mohammed VI University Hospital, Avenue Thami jilali 60050 Oujda, Maroc - Faculty of Medicine and Pharmacy of Oujda, Mohammed first University Oujda,Hay al Hikma, BP 4867, 60049 Oujda, Maroc.           2. Research and Medical Sciences Laboratory, Faculty of Medicine and Pharmacy of Oujda, Mohammed first University Oujda","institution_ids":["https://openalex.org/I4210108110","https://openalex.org/I4210141296"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.43737135,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"14","issue":"06","first_page":"394","last_page":"398"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10754","display_name":"Neuroendocrine Tumor Research Advances","score":0.9868000149726868,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10754","display_name":"Neuroendocrine Tumor Research Advances","score":0.9868000149726868,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12992","display_name":"Metastasis and carcinoma case studies","score":0.008799999952316284,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12379","display_name":"Cancer Diagnosis and Treatment","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/primary-hepatic-neuroendocrine-tumor","display_name":"primary hepatic neuroendocrine tumor","score":0.9980000257492065},{"id":"https://openalex.org/keywords/lung-metastasis","display_name":"lung metastasis","score":0.9750000238418579},{"id":"https://openalex.org/keywords/multiple-primary-neoplasms","display_name":"multiple primary neoplasms","score":0.6000000238418579},{"id":"https://openalex.org/keywords/differential-diagnosis","display_name":"differential diagnosis","score":0.7149999737739563},{"id":"https://openalex.org/keywords/ultrasound-guided-liver-biopsy","display_name":"ultrasound-guided liver biopsy","score":0.8420000076293945},{"id":"https://openalex.org/keywords/immunohistochemistry","display_name":"immunohistochemistry","score":0.8090000152587891},{"id":"https://openalex.org/keywords/chromogranin-a","display_name":"chromogranin A","score":0.9769999980926514},{"id":"https://openalex.org/keywords/synaptophysin","display_name":"synaptophysin","score":0.996999979019165},{"id":"https://openalex.org/keywords/ki-67-proliferation-index","display_name":"Ki-67 proliferation index","score":0.8600000143051147},{"id":"https://openalex.org/keywords/palliative-chemotherapy","display_name":"palliative chemotherapy","score":0.7269999980926514}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8715000152587891},{"id":"https://openalex.org/C77231918","wikidata":"https://www.wikidata.org/wiki/Q3698322","display_name":"Chromogranin A","level":3,"score":0.8476999998092651},{"id":"https://openalex.org/C2779066768","wikidata":"https://www.wikidata.org/wiki/Q1981276","display_name":"Neuroendocrine tumors","level":2,"score":0.703499972820282},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.699999988079071},{"id":"https://openalex.org/C2777714996","wikidata":"https://www.wikidata.org/wiki/Q7886","display_name":"Lung","level":2,"score":0.5907999873161316},{"id":"https://openalex.org/C2777858994","wikidata":"https://www.wikidata.org/wiki/Q10599959","display_name":"Neuroendocrine cell","level":3,"score":0.5419999957084656},{"id":"https://openalex.org/C2780283643","wikidata":"https://www.wikidata.org/wiki/Q2110267","display_name":"Primary tumor","level":4,"score":0.5227000117301941},{"id":"https://openalex.org/C2777209535","wikidata":"https://www.wikidata.org/wiki/Q14864388","display_name":"Synaptophysin","level":3,"score":0.5044999718666077},{"id":"https://openalex.org/C2779013556","wikidata":"https://www.wikidata.org/wiki/Q181876","display_name":"Metastasis","level":3,"score":0.48579999804496765},{"id":"https://openalex.org/C204232928","wikidata":"https://www.wikidata.org/wiki/Q899285","display_name":"Immunohistochemistry","level":2,"score":0.47589999437332153},{"id":"https://openalex.org/C2775934546","wikidata":"https://www.wikidata.org/wiki/Q179991","display_name":"Biopsy","level":2,"score":0.47200000286102295},{"id":"https://openalex.org/C2780512811","wikidata":"https://www.wikidata.org/wiki/Q11829360","display_name":"Gastrointestinal tract","level":2,"score":0.3197999894618988},{"id":"https://openalex.org/C2777766500","wikidata":"https://www.wikidata.org/wiki/Q360841","display_name":"Liver biopsy","level":3,"score":0.31869998574256897},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.2996000051498413},{"id":"https://openalex.org/C2781156865","wikidata":"https://www.wikidata.org/wiki/Q827023","display_name":"Lesion","level":2,"score":0.2874000072479248},{"id":"https://openalex.org/C2779701055","wikidata":"https://www.wikidata.org/wiki/Q929833","display_name":"Rare disease","level":3,"score":0.2766999900341034},{"id":"https://openalex.org/C2776178081","wikidata":"https://www.wikidata.org/wiki/Q3286546","display_name":"Respiratory disease","level":3,"score":0.26930001378059387},{"id":"https://openalex.org/C2780801072","wikidata":"https://www.wikidata.org/wiki/Q837512","display_name":"Differential diagnosis","level":2,"score":0.2606000006198883},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.2513999938964844}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.21474/ijar01/23627","doi":"https://doi.org/10.21474/ijar01/23627","is_oa":true,"landing_page_url":"https://doi.org/10.21474/ijar01/23627","pdf_url":"https://www.journalijar.com/uploads/2026/06/6a423e3642f33_IJAR-58102.pdf","source":{"id":"https://openalex.org/S4210206230","display_name":"International Journal of Advanced Research","issn_l":"2320-5407","issn":["2320-5407"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Advanced Research","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.21474/ijar01/23627","doi":"https://doi.org/10.21474/ijar01/23627","is_oa":true,"landing_page_url":"https://doi.org/10.21474/ijar01/23627","pdf_url":"https://www.journalijar.com/uploads/2026/06/6a423e3642f33_IJAR-58102.pdf","source":{"id":"https://openalex.org/S4210206230","display_name":"International Journal of Advanced Research","issn_l":"2320-5407","issn":["2320-5407"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Advanced Research","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9763000011444092}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7166861451.pdf","grobid_xml":"https://content.openalex.org/works/W7166861451.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4406599141","https://openalex.org/W4414959639","https://openalex.org/W1482760849","https://openalex.org/W2980790878","https://openalex.org/W2938115837","https://openalex.org/W3175661172","https://openalex.org/W3122080508","https://openalex.org/W7125523486","https://openalex.org/W4416796625","https://openalex.org/W7160864871"],"abstract_inverted_index":{"Neuroendocrine":[0],"tumors":[1,16],"(NETs)":[2],"are":[3,18,32],"rare":[4],"neoplasms,":[5],"accounting":[6],"for":[7],"approximately":[8],"1-2%":[9],"of":[10,25,39,67,95,120,155],"gastrointestinal":[11],"tumors.":[12,71,167],"Primary":[13],"hepatic":[14,61,122,148],"neuroendocrine":[15,81,123],"(PHNETs)":[17],"extremely":[19],"uncommon,":[20],"representing":[21],"less":[22],"than":[23],"0.3%":[24],"all":[26],"NETs.":[27],"Pulmonary":[28],"metastases":[29],"from":[30,164],"PHNETs":[31],"exceptionally":[33],"reported.":[34],"We":[35],"report":[36],"the":[37,65,140,152],"case":[38,138],"a":[40,53,77,91],"79-year-old":[41],"man":[42],"presenting":[43],"with":[44,83,125,134],"exertional":[45],"dyspnea":[46],"and":[47,59,87,90,147,150,157],"persistent":[48],"cough.Thoracoabdominal":[49],"computed":[50],"tomography":[51],"revealed":[52,109],"right":[54],"lower":[55],"lobe":[56],"pulmonary":[57,126,146],"mass":[58],"multiple":[60,165],"lesions,":[62],"initially":[63],"suggesting":[64],"presence":[66],"two":[68],"synchronous":[69,145],"primary":[70,112,121,166],"However,":[72],"ultrasound-guided":[73],"liver":[74],"biopsy":[75,101],"demonstrated":[76],"well-differentiated":[78],"grade":[79],"3":[80],"tumor,":[82],"positive":[84],"chromogranin":[85],"A":[86,97,105],"synaptophysin":[88],"expression":[89],"Ki-67":[92],"proliferation":[93],"index":[94],"30%.":[96],"subsequent":[98],"transthoracic":[99],"lung":[100],"confirmed":[102],"metastatic":[103,116,162],"involvement.":[104],"comprehensive":[106],"extension":[107],"workup":[108],"no":[110],"extrahepatic":[111],"tumor":[113,124],"or":[114],"additional":[115],"sites.":[117],"The":[118,130],"diagnosis":[119],"metastasis":[127],"was":[128,132],"established.":[129],"patient":[131],"managed":[133],"palliative":[135],"chemotherapy.":[136],"This":[137],"highlights":[139],"diagnostic":[141],"challenge":[142],"posed":[143],"by":[144],"lesions":[149],"underscores":[151],"crucial":[153],"role":[154],"histopathological":[156],"immunohistochemical":[158],"analysis":[159],"in":[160],"distinguishing":[161],"disease":[163]},"counts_by_year":[],"updated_date":"2026-10-28T10:33:24.094632","created_date":"2026-07-02T00:00:00"}
