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Related Experiment Videos

[Computerized tomography findings in intestinal carcinoid]

R Vinci1, A A Stabile Ianora, M Magliocca

  • 1Istituto di Radiologia dell'Università, Bari.

La Radiologia Medica
|December 16, 1998
PubMed
Summary
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Computed tomography (CT) effectively detects abdominal carcinoid tumors, often presenting as mesenteric masses. However, CT findings can sometimes mimic other abdominal lesions, requiring careful interpretation.

Area of Science:

  • Gastrointestinal Radiology
  • Abdominal Imaging
  • Oncology

Background:

  • Carcinoid tumors are neuroendocrine neoplasms that can occur anywhere in the gastrointestinal tract.
  • Abdominal carcinoid tumors can present with a variety of symptoms, including carcinoid syndrome, abdominal pain, and jaundice.
  • Computed tomography (CT) is a key imaging modality for evaluating abdominal masses.

Purpose of the Study:

  • To evaluate the computed tomography (CT) patterns of abdominal carcinoid tumors.
  • To assess the diagnostic accuracy of CT in identifying the location and characteristics of these tumors.

Main Methods:

  • Retrospective review of CT scans from eight patients with pathologically confirmed abdominal carcinoid tumors.
  • Analysis of tumor location, size, enhancement patterns, and presence of lymphadenopathy or metastases.

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  • Correlation of CT findings with surgical and histopathological results.
  • Main Results:

    • CT successfully detected tumors in all eight patients but accurately localized the primary site in seven.
    • Characteristic CT findings included rounded mesenteric masses with radiating soft-tissue density bands (stellate pattern) in four cases.
    • Other observed CT patterns included infiltrating colonic tumors, intracholedochal masses, and large necrotic mesenteric masses, some mimicking other malignancies.

    Conclusions:

    • Computed tomography (CT) is a valuable tool for detecting abdominal carcinoid tumors.
    • A rounded mesenteric mass with a stellate pattern is a characteristic CT finding suggestive of carcinoid tumor.
    • Non-specific CT appearances can mimic other abdominal pathologies, necessitating a high index of suspicion and correlation with clinical and pathological data.