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Name | Computed tomographic appearance of mesentric carcinoid and its importance: A Case report & review of literature |
Description | Case report & Literature review:- Radiology Nagarajan K 1*, Muthu S2 & Sushma Nayar3 Departments of Radiology1, General Surgery2 & Pathology3, Chettinad Hospital & Research Institute, Rajiv Gandhi Salai (IT Highway) Kelambakkam, Kanchipuram Dt Tamil Nadu – 603103 India.
Abstract:- Gastro-intestinal carcinoids are common in the ileo-appendiceal region and produce typical appearance of ‘spiculated’ margins in Computed Tomography (CT). Metastasis to liver leads to systemic carcinoid syndrome. We present a case of ileal mesentric carcinoid which was initially suspected as bowel mass and review the literature to underline the importance of identifying the characteristic CT appearance in view of complications associated with biopsy and surgery of such lesions.
Key Words:- Mesentric carcinoid, Imaging, CT, Liver Metastases, Surgery, Biopsy, Complications.
References:- 1.Kalia V, Saggar K, Sandhu P, Ahluwalia A, Vibhuti. Carcinoid tumor of the Ileum. IJRI Indian J Radiol Imag 2006; 16: 503-4. 2.Woodard PK, Feldman JM, Paine SS, Baker ME. Midgut carcinoid tumors: CT findings and biochemical profiles. J Comput Assist Tomogr. 1995; 19(3): 400-5. 3.Buckley JA, Fishman EK. CT evaluation of small bowel neoplasms: spectrum of disease. Radiographics 1998; 18(2): 379-92. 4.Rioux M, Langis P, Naud F. Sonographic appearance of primary small bowel carcinoid tumor. Abdom Imag 1995; 20(1): 37-43. 5.Pantongrag-Brown L, Buetow PC, Carr NJ, Lichenstein JE, Buck JL. Calcification and fibrosis in mesentric carcinoid tumor: CT findings and pathologic correlation. AJR Am J Roentgenol 1995; 206 (6): 387-91. 6.Nikou GC, Lygidakis NJ, Toubanakis C, et al. Current diagnosis and treatment of gastrointestinal carcinoids in a series of 101 patients: the significance of serum chromogranin-A, somatostatin receptor scintigraphy and somatostatin analogues. Hepatogastroenterology 2005; 52(63): 731-41. 7.Rappeport ED, Hansen C Palnaes, Kjaer A, Knigge U. Multidetector Computed Tomography and Neuroendocrine Pancreaticoduodenal Tumors. Acta Radiol 2006; 47(3): 248-56. 8.Boudreaux JP, Putty B, Frey DJ, et al. Surgical treatment of advanced-stage carcinoid tumors: lessons learned. Ann Surg 2005; 241(6): 839-45; 9.Kvols LK, Martin JK, Marsh HM, Moertel CC. Rapid reversal of carcinoid crisis with a somatostatin analogue. N Engl Med 1985; 313: 1229-30. 10.Ahlman H, Ahlund L, Sahlstrom A, et al. Use of a somatostatin analogue in association with surgery and hepatic arterial embolisation in the treatment of carcinoid syndrome. Br J Cancer 1987; 56:840-2. 11.Bissonnette RT, Gibney RG, Berry BR, Buckley AR. Fatal Carcinoid Crisis after Percutaneous Fine-Needle Biopsy of Hepatic Metastasis: Case Report and Literature Review. Radiology 1990; 174: 751-2. 12. Mason RA, Steane PA. Carcinoid syndrome: its relevance to the anesthetist. Anesthesia 1976; 31: 228-42.
Copyright © 2013 Nagarajan K, Muthu S & Sushma Nayar. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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