Carcinoid syndrome CT: Difference between revisions

Jump to navigation Jump to search
VisualWikitext
No edit summary
 
(18 intermediate revisions by 4 users not shown)
Line 4: Line 4:


==Overview==
==Overview==
Chest CT scan may be helpful in the diagnosis of carcinoid tumor. On high-resolution CT scan of the chest, peripheral pulmonary carcinoid tumor is characterized by a solitary and round [[pulmonary nodule]] with a lobulated margin, whereas bronchial carcinoid tumor is characterized by a single well-defined, round or ovoid, hilar or perihilar [[mass]] with marked homogenous enhancement. On CT scan of the neck, thymic carcinoid tumor is characterized by a mass with heterogeneous attenuation.<ref name=thymicCT> Thymic carcinoid tumour. Dr Yuranga Weerakkody and Dr Mohammad Taghi Niknejad et al. Radiopaedia 2015. http://radiopaedia.org/articles/thymic-carcinoid-tumour </ref><ref name=pulmonaryCT> Peripheral pulmonary carcinoid tumour
[[Chest]] [[CT scan]] may be helpful in the [[diagnosis]] of [[Carcinoid tumor|carcinoid tumor.]] On [[High-resolution CT|high-resolution]] [[CT scan]] of the [[chest]], peripheral [[pulmonary]] [[carcinoid tumor]] is characterized by a [[solitary]] and round [[pulmonary nodule]] with a lobulated margin, whereas [[bronchial]] [[carcinoid tumor]] is characterized by a single well-defined, round or ovoid, [[hilar]] or perihilar [[mass]] with marked [[homogenous]] [[Enhancement|enhancement.]] On [[CT scan]] of the [[neck]], [[thymic]] [[carcinoid tumor]] is characterized by a [[mass]] with [[heterogeneous]] [[attenuation]].
. Dr Henry Knipe and Dr Yuranga Weerakkody et al. Radiopaedia 2015. http://radiopaedia.org/articles/peripheral-pulmonary-carcinoid-tumour </ref>


==CT==
==CT==
===Midgut Carcinoids===
*[[Computed tomography|CT]] is poor in detecting primary [[Carcinoid Tumor|carcinoid tumor]] but helpful in evaluating the [[Extention|extent]] of [[tumour]] [[Spread of the cancer|spread]] before [[Surgeries|surgical]] exploration.<ref name="pmid7619613">{{cite journal |vauthors=Sugimoto E, Lörelius LE, Eriksson B, Oberg K |title=Midgut carcinoid tumours. CT appearance |journal=Acta Radiol |volume=36 |issue=4 |pages=367–71 |date=July 1995 |pmid=7619613 |doi= |url=}}</ref>
*Most common finding is [[liver]] [[metastases]].
*[[Mesenteric]] [[metastases]] and [[retroperitoneal]] [[adenopathy]] can also be detected.
*[[Carcinoid tumor]] that have infiltrated the [[mesentery]] have a characteristic [[Computed tomography|CT]] appearance as a ill-defined [[mesenteric]] [[mass]] containing [[calcification]] in up to 70% of cases.<ref name="pmid3968277">{{cite journal |vauthors=Cockey BM, Fishman EK, Jones B, Siegelman SS |title=Computed tomography of abdominal carcinoid tumor |journal=J Comput Assist Tomogr |volume=9 |issue=1 |pages=38–42 |date=1985 |pmid=3968277 |doi= |url=}}</ref>
*Three-dimensional [[CT angiography]] detects [[mesenteric]] [[mass]] and its relationship to the [[vessels]] which is important for [[surgical]] planning.
===Peripheral Pulmonary Carcinoid Tumor High-Resolution CT Chest===
===Peripheral Pulmonary Carcinoid Tumor High-Resolution CT Chest===
Findings on high-resolution CT scan suggestive of peripheral pulmonary carcinoid tumor include:<ref name=pulmonaryCT>Peripheral pulmonary carcinoid tumour. Dr Henry Knipe and Dr Yuranga Weerakkody et al. Radiopaedia 2015. http://radiopaedia.org/articles/peripheral-pulmonary-carcinoid-tumour</ref>
Findings on [[CT scan|high-resolution CT scan]] suggestive of peripheral [[pulmonary]] [[carcinoid tumor]] include:<ref name="pulmonaryCT">Peripheral pulmonary carcinoid tumour. Dr Henry Knipe and Dr Yuranga Weerakkody et al. Radiopaedia 2015. http://radiopaedia.org/articles/peripheral-pulmonary-carcinoid-tumour</ref>
*Discovered as an incidental solitary and round [[pulmonary nodule]]
*Discovered as an [[Incidental finding|incidental]] [[solitary]] and round [[pulmonary nodule]]
*Size at diagnosis can vary but ranges between 10-30 mm  
*Size at diagnosis can vary but ranges between 10-30 mm  
*Lobulated margin
*Lobulated margin


===Bronchial Carcinoid Tumor High-Resolution CT Chest===
===Bronchial Carcinoid Tumor High-Resolution CT Chest===
Findings on high-resolution CT scan suggestive of bronchial carcinoid tumor include:
Findings on [[CT scan|high-resolution CT scan]] suggestive of [[Carcinoid tumor|bronchial carcinoid tumor]] include:<ref>Bronchial carcinoid tumour. Dr Henry Knipe and Dr Yuranga Weerakkody et al. Radiopaedia 2015. http://radiopaedia.org/articles/bronchial-carcinoid-tumour</ref><ref name="pmid11896225">{{cite journal |vauthors=Jeung MY, Gasser B, Gangi A, Charneau D, Ducroq X, Kessler R, Quoix E, Roy C |title=Bronchial carcinoid tumors of the thorax: spectrum of radiologic findings |journal=Radiographics |volume=22 |issue=2 |pages=351–65 |date=2002 |pmid=11896225 |doi=10.1148/radiographics.22.2.g02mr01351 |url=}}</ref>
*Well-defined single hilar or perihilar [[mass]]
*Well-defined single [[hilar]] or perihilar [[mass]]
*Round or ovoid in shape
*Round or ovoid in shape
*Variable in size but typically ranges between 2-5 cm
*Variable in size but typically ranges between 2-5 cm
*Marked homogeneous contrast enhancement due to high vascularity
*Marked [[homogeneous]] [[contrast]] enhancement due to high [[vascularity]]
*[[Calcification]] (usually eccentric) can occur
*[[Calcification]] (usually [[Eccentric Lesion|eccentric]]) can occur


===Thymic Carcinoid===
===Thymic Carcinoid===
Findings on neck CT scan suggestive of thymic carcinoid tumor include:
Findings on [[neck]] [[CT scan]] suggestive of [[thymic]] [[carcinoid tumor]] include:<ref name="thymicCT">Thymic carcinoid tumour. Dr Yuranga Weerakkody and Dr Mohammad Taghi Niknejad et al. Radiopaedia 2015. http://radiopaedia.org/articles/thymic-carcinoid-tumour</ref>
*Mass with heterogeneous attenuation<ref name=thymicCT>Thymic carcinoid tumour. Dr Yuranga Weerakkody and Dr Mohammad Taghi Niknejad et al. Radiopaedia 2015. http://radiopaedia.org/articles/thymic-carcinoid-tumour</ref>
*[[Mass]] with [[heterogeneous]] [[attenuation]]


==Gallery==
==Gallery==
Line 30: Line 36:
Image:
Image:


Carcinoid-001.jpg|thumb
Carcinoid-001.jpg|CT scan Intestinal Carcinoid|<ref name=rad>Image courtesy of Dr Henry Knipe and Dr Yuranga Weerakkody et al. [http://www.radiopaedia.org Radiopaedia] (original file [http://radiopaedia.org/articles/carcinoid-tumours-1]). [http://radiopaedia.org/licence Creative Commons BY-SA-NC</ref>


Image:
Image:


Carcinoid-002.jpg
Carcinoid-002.jpg|CT scan Intestinal Carcinoid|<ref name=rad>Image courtesy of Dr Henry Knipe and Dr Yuranga Weerakkody et al. [http://www.radiopaedia.org Radiopaedia] (original file [http://radiopaedia.org/articles/carcinoid-tumours-1]). [http://radiopaedia.org/licence Creative Commons BY-SA-NC</ref>


Image:
Image:


Carcinoid-003.jpg
Carcinoid-003.jpg|CT scan Intestinal Carcinoid|<ref name=rad>Image courtesy of Dr Henry Knipe and Dr Yuranga Weerakkody et al. [http://www.radiopaedia.org Radiopaedia] (original file [http://radiopaedia.org/articles/carcinoid-tumours-1]). [http://radiopaedia.org/licence Creative Commons BY-SA-NC</ref>
 
Image:
Image:


Carcinoid-004.jpg
Carcinoid-004.jpg|CT scan Intestinal Carcinoid|<ref name=rad>Image courtesy of Dr Henry Knipe and Dr Yuranga Weerakkody et al. [http://www.radiopaedia.org Radiopaedia] (original file [http://radiopaedia.org/articles/carcinoid-tumours-1]). [http://radiopaedia.org/licence Creative Commons BY-SA-NC</ref>
 
</gallery>
</gallery>


==References==
==References==
{{reflist|2}}
{{Reflist|2}}
{{WS}}
{{WH}}


[[Category:Disease]]
[[Category:Gastroenterology]]
[[Category:Types of cancer]]
[[Category:Endocrinology]]
[[Category:Pulmonology]]
[[Category:Hematology]]
[[Category:Hematology]]
[[Category:Up-To-Date]]
[[Category:Oncology]]
[[Category:Medicine]]
[[Category:Gastroenterology]]
[[Category:Endocrinology]]
[[Category:Endocrinology]]
[[Category:Gastroenterology]]
[[Category:Surgery]]
 
{{WikiDoc Help Menu}}
{{WikiDoc Sources}}

Latest revision as of 19:44, 3 May 2019

Carcinoid syndrome Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Carcinoid Syndrome from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Staging

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Carcinoid syndrome CT On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Carcinoid syndrome CT

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Carcinoid syndrome CT

CDC on Carcinoid syndrome CT

Carcinoid syndrome CT in the news

Blogs on Carcinoid syndrome CT

Directions to Hospitals Treating Carcinoid syndrome

Risk calculators and risk factors for Carcinoid syndrome CT

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]Associate Editor(s)-in-Chief: Parminder Dhingra, M.D. [3]

Overview

Chest CT scan may be helpful in the diagnosis of carcinoid tumor. On high-resolution CT scan of the chest, peripheral pulmonary carcinoid tumor is characterized by a solitary and round pulmonary nodule with a lobulated margin, whereas bronchial carcinoid tumor is characterized by a single well-defined, round or ovoid, hilar or perihilar mass with marked homogenous enhancement. On CT scan of the neck, thymic carcinoid tumor is characterized by a mass with heterogeneous attenuation.

CT

Midgut Carcinoids

Peripheral Pulmonary Carcinoid Tumor High-Resolution CT Chest

Findings on high-resolution CT scan suggestive of peripheral pulmonary carcinoid tumor include:[3]

Bronchial Carcinoid Tumor High-Resolution CT Chest

Findings on high-resolution CT scan suggestive of bronchial carcinoid tumor include:[4][5]

Thymic Carcinoid

Findings on neck CT scan suggestive of thymic carcinoid tumor include:[6]

Gallery

References

  1. ↑ Sugimoto E, Lörelius LE, Eriksson B, Oberg K (July 1995). "Midgut carcinoid tumours. CT appearance". Acta Radiol. 36 (4): 367–71. PMID 7619613.
  2. ↑ Cockey BM, Fishman EK, Jones B, Siegelman SS (1985). "Computed tomography of abdominal carcinoid tumor". J Comput Assist Tomogr. 9 (1): 38–42. PMID 3968277.
  3. ↑ Peripheral pulmonary carcinoid tumour. Dr Henry Knipe and Dr Yuranga Weerakkody et al. Radiopaedia 2015. http://radiopaedia.org/articles/peripheral-pulmonary-carcinoid-tumour
  4. ↑ Bronchial carcinoid tumour. Dr Henry Knipe and Dr Yuranga Weerakkody et al. Radiopaedia 2015. http://radiopaedia.org/articles/bronchial-carcinoid-tumour
  5. ↑ Jeung MY, Gasser B, Gangi A, Charneau D, Ducroq X, Kessler R, Quoix E, Roy C (2002). "Bronchial carcinoid tumors of the thorax: spectrum of radiologic findings". Radiographics. 22 (2): 351–65. doi:10.1148/radiographics.22.2.g02mr01351. PMID 11896225.
  6. ↑ Thymic carcinoid tumour. Dr Yuranga Weerakkody and Dr Mohammad Taghi Niknejad et al. Radiopaedia 2015. http://radiopaedia.org/articles/thymic-carcinoid-tumour
  7. ↑ 7.0 7.1 7.2 7.3 Image courtesy of Dr Henry Knipe and Dr Yuranga Weerakkody et al. Radiopaedia (original file [1]). [http://radiopaedia.org/licence Creative Commons BY-SA-NC

Template:WS Template:WH

Retrieved from "https://www.wikidoc.org/index.php?title=Carcinoid_syndrome_CT&oldid=1566514"