Terminal ileum carcinoid tumor with hepatic metastasis

Case contributed by Dr Bruno Di Muzio


CT staging after colonoscopy and ileocecal biopsy.

Patient Data

Age: 73
Gender: Female

CT Abdomen and pelvis (selected images)

Large lesions in the right hepatic lobe, predominantly hypervascular with central areas of necrosis. Hypervascular solid lesions involving internal intestinal walls in the region of the ileocecal valve.

Note that the cecal wall is surrounded by two sides.

Case Discussion

The histopathological diagnosis confirmed the carcinoid tumor. 

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

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


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Case information

rID: 23456
Published: 16th Jun 2013
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included