Carcinoid syndrome

Case contributed by Abdallah Alqudah
Diagnosis certain

Presentation

Alteration in bowel habit and mass in the right lower abdomen.

Patient Data

Age: 55 years
Gender: Female
ct

There is a heterogeneously enhancing soft tissue mass lesion seen in the right iliac fossa, arising from the mesentery of small bowel. It contains areas of necrosis and foci of calcifications and causes a desmoplastic reaction.

Case Discussion

The diagnosis was suggested by the presence of a desmoid reaction in addition to the lab results.  Histology confirms the mass as a well-differentiated neuroendocrine tumour (carcinoid tumour).

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