Metastatic small bowel neuroendocrine tumor

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Abdominal pain and progressive distention

Patient Data

Age: 60 years
Gender: Female
  • at the mesenteric root there is a 55 × 25 mm enhancing mass with coarse calcifications
  • multiple ill-defined heterogeneously enhancing masses in the liver, measuring less than 20 mm
  • several enlarged portahepatic and para-aortocaval nodes with maximum SAD of 23 mm. 

Osteolytic lesions in the thoracolumbar vertebrae and bony pelvis.

Moderate abdominopelvic ascites. 

Case Discussion

Pathology proven case of metastatic small bowel neuroendocrine tumor that can metastasize to multiple sites including regional nodes, liver, lung, and bone.

Neuroendocrine tumors can arise in bowel and lung, as well as at other sites.

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