Gastrointestinal tract carcinoid tumour

Case contributed by Dr Bruno Di Muzio

Presentation

Diffuse abdominal pain and weight loss.

Patient Data

Age: 60
Gender: Male
CT

CT Abdomen and pelvis

The main finding is a prominent, spiculated nodal mass at the root of the mesentery. There is also focal nodular thickening of small intestine wall. 

Annotated image

Arrows indicate the lesions previously described.

Case Discussion

Carcinoid tumours are neuroendocrine neoplasms of diffuse cellular system, and nowadays the term neuroendocrine tumour has been proposed for this entity 1

Diagnosis is made at the mean age of 50 years.  The most frequent locations of carcinoid tumours are the gastrointestinal tract (73.7%) and respiratory system (25.1%) 1.

The involvement of lymph nodes in small bowel carcinoid tumours occurs frequently, even for lesions smaller than 1 cm.

This case was pathologically proven.

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Case information

rID: 19593
Case created: 27th Sep 2012
Last edited: 2nd Oct 2015
Inclusion in quiz mode: Included

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