Small bowel carcinoid

Case contributed by Ian Bickle
Diagnosis certain

Presentation

Known carcinoid on treatment.

Patient Data

Age: 70 years
Gender: Male
ct

2 cm part calcified soft tissue mass in the small bowel mesentery. 

Para-aortic lymphadenopathy measuring up to 3.1 cm.

Cholecystectomy.

The solid organs are normal.

Case Discussion

This patient has a long history of metastatic small bowel carcinoid with static imaging appearance over several scans.

The part calcified mesenteric mass is classical, although there is often more of a desmoplastic reaction than illustrated in this case.

An indium-111 octreotide scan is the diagnostic imaging test of choice at first diagnosis.

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