Carcinoid tumour with hepatic metastases

Case contributed by Dr David Cuete

Presentation

High blood pressure and diffuse abdominal pain.

Patient Data

Age: 50
Gender: Male
CT

CT torax, abdomen and pelvis

Liver size and normal morphology, density preserved,  presents multiple focal lesions and exhibit enhancement in the arterial phase. Small calcification of 3 mm in segment VII, nonspecific aspect.

Oval mesenteric mass with irregular surface contours and small calcification in its thickness of 5 mm, determines adipose tissue retraction and adjacent vascular structures without signs of vascular infiltration with this method, measuring 3.5 x 2.6 cm in diameter, this lesion has similarly enhancement in arterial and venous phase.

In half of the ileum segment, adjacent to the above-described mass is identified mild wall thickening, categorically unidentified tumor a solid lesion at this level.

Case Discussion

The tomographic appearance of a mesenteric mass is suggestive of local spread of carcinoid tumor with hypervascular hepatic focal lesions of secondary aspect. The mesenteric mass was biopsied and was consistent with a carcinoid tumour.

Sometimes carcinoid tumors can spread and release high levels of hormones, resulting in carcinoid syndrome. The symptoms of carcinoid syndrome vary depending on what hormones are being released into the bloodstream, but may include flushing of the skin on the face and chest, diarrhea, and wheezing and shortness of breath.

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Case information

rID: 22651
Case created: 14th Apr 2013
Last edited: 29th Mar 2017
Inclusion in quiz mode: Included

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