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Selective mesenteric phlebography in patients with carcinoid tumors
Gastrointestinal Radiology
|April 15, 1979
Summary
This study evaluated imaging techniques for localizing carcinoid tumors. Arteriography and hormone assays effectively identified liver metastases and aided diagnosis, complementing other methods.
Area of Science:
- Gastroenterology
- Diagnostic Imaging
- Oncology
Background:
- Carcinoid tumors can metastasize to the small intestine and liver.
- Accurate localization is crucial for effective treatment planning.
Purpose of the Study:
- To assess the efficacy of various preoperative localization methods for small intestine and liver carcinoid tumors.
- To compare surgical findings with preoperative imaging results.
Main Methods:
- Investigated 17 patients with carcinoid tumors.
- Utilized portography, selective phlebography, arteriography, and hormone assays (Serotonin, substance P).
- Simultaneous catheterization of celiac artery, portal, and caval veins was performed.
Main Results:
- Phlebography and arteriography effectively showed mesenteric involvement in small bowel carcinoids.
- Arteriography demonstrated superior visualization of liver metastases.
- None of the methods definitively identified primary small bowel tumors.
- Hormone assays complemented angiographic techniques for diagnosis and localization.
Conclusions:
- Angiographic techniques and hormone assays are valuable for localizing carcinoid tumor growth.
- Arteriography is particularly effective for detecting liver metastases.
- Combined diagnostic approaches improve the localization accuracy of carcinoid tumors.