Zollinger-Ellison syndrome CT: Difference between revisions

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==Abdominal CT==
==Abdominal CT==
*Abdominal [[CT]] scan may be helpful in the diagnosis of Zollinger-Ellison syndrome caused by [[gastrinoma]]. [[Gastrinoma]]s are frequently multiple and often extrapancreatic (90% located in the gastrinoma triangle). Thus, they can be difficult to locate. For this reason, multiphase contrast enhanced thin slice cross-sectional imaging is ideal.<ref>Radiographic Features of Gastrinoma.Dr Frank Gaillard et al. Radiopaedia.org 2015. http://radiopaedia.org/articles/gastrinoma</ref> Findings on Abdominal CT scan suggestive of [[gastrinoma]] include clearly defined, well-enhanced mass.
*Abdominal [[CT]] scan may be helpful in the diagnosis of Zollinger-Ellison syndrome caused by [[gastrinoma]]. [[Gastrinoma]]s are frequently multiple and often [[pancreas|extrapancreatic]] (90% located in the gastrinoma triangle). Thus, they can be difficult to locate. For this reason, multiphase [[contrast]]-enhanced thin slice cross-sectional imaging is ideal.<ref>Radiographic Features of Gastrinoma. Dr. Frank Gaillard et al. Radiopaedia.org 2015. http://radiopaedia.org/articles/gastrinoma</ref> Findings on Abdominal CT scan suggestive of [[gastrinoma]] include clearly defined well-enhanced mass.


*Abdomen CT axial (A) and coronal (B) images showing a 2.7×2.4-cm, lobulated, enhancing lesion at the pancreas head (open arrow). <ref name="pmid27408649">{{cite journal| author=Yang RH, Chu YK| title=Zollinger-Ellison syndrome: Revelation of the gastrinoma triangle. | journal=Radiol Case Rep | year= 2015 | volume= 10 | issue= 1 | pages= 827 | pmid=27408649 | doi=10.2484/rcr.v10i1.827 | pmc=4921170 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27408649  }} </ref>
*Abdomen CT [[Anatomical terms of location|axial]] (A) and [[Coronal plane|coronal]] (B) images showing a 2.7×2.4-cm, lobulated, enhancing lesion at the [[Head of pancreas|pancreas head]] (open arrow). <ref name="pmid27408649">{{cite journal| author=Yang RH, Chu YK| title=Zollinger-Ellison syndrome: Revelation of the gastrinoma triangle. | journal=Radiol Case Rep | year= 2015 | volume= 10 | issue= 1 | pages= 827 | pmid=27408649 | doi=10.2484/rcr.v10i1.827 | pmc=4921170 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27408649  }} </ref>


[[File:ZES_CT_1.jpg|thumb|none|600px| Abdomen CT axial (A) and coronal (B) images. Yang RH, Chu YK, CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0 <ref name="pmid27408649">{{cite journal| author=Yang RH, Chu YK| title=Zollinger-Ellison syndrome: Revelation of the gastrinoma triangle. | journal=Radiol Case Rep | year= 2015 | volume= 10 | issue= 1 | pages= 827 | pmid=27408649 | doi=10.2484/rcr.v10i1.827 | pmc=4921170 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27408649  }} </ref>]]
[[File:ZES_CT_1.jpg|thumb|none|600px| Abdomen CT axial (A) and coronal (B) images. Yang RH, Chu YK, CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0 <ref name="pmid27408649">{{cite journal| author=Yang RH, Chu YK| title=Zollinger-Ellison syndrome: Revelation of the gastrinoma triangle. | journal=Radiol Case Rep | year= 2015 | volume= 10 | issue= 1 | pages= 827 | pmid=27408649 | doi=10.2484/rcr.v10i1.827 | pmc=4921170 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27408649  }} </ref>]]
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*Findings on abdominal CT scan suggestive of [[gastrinoma]]s include a clearly defined and well-enhanced mass.
*Findings on abdominal CT scan suggestive of [[gastrinoma]]s include a clearly defined and well-enhanced mass.
*Abdominal CT scan can be used to confirm the location of the cancer and to detect distant metastasis.
*Abdominal CT scan can be used to confirm the location of the cancer and to detect distant [[metastasis]].
[[File:Gastrinoma.jpeg|thumb|none|400px|Abdominal CT scan showing a 3 × 2 cm, well-defined, uniformly enhanced mass adjacent to the duodenal loop. Lee WS, Koh YS, Kim JC, CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0 <ref name="pmid16042772">{{cite journal |vauthors=Lee WS, Koh YS, Kim JC, Park CH, Joo YE, Kim HS, Cho CK, Choi SK, Rew JS, Kim SJ |title=Zollinger-Ellison syndrome associated with neurofibromatosis type 1: a case report |journal=BMC Cancer |volume=5 |issue= |pages=85 |year=2005 |pmid=16042772 |pmc=1181810 |doi=10.1186/1471-2407-5-85 |url=}}</ref>]]
[[File:Gastrinoma.jpeg|thumb|none|400px|Abdominal CT scan showing a 3 × 2 cm, well-defined, uniformly enhanced mass adjacent to the duodenal loop. Lee WS, Koh YS, Kim JC, CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0 <ref name="pmid16042772">{{cite journal |vauthors=Lee WS, Koh YS, Kim JC, Park CH, Joo YE, Kim HS, Cho CK, Choi SK, Rew JS, Kim SJ |title=Zollinger-Ellison syndrome associated with neurofibromatosis type 1: a case report |journal=BMC Cancer |volume=5 |issue= |pages=85 |year=2005 |pmid=16042772 |pmc=1181810 |doi=10.1186/1471-2407-5-85 |url=}}</ref>]]



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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Aravind Reddy Kothagadi M.B.B.S[2] Mohamad Alkateb, MBBCh [3]

Overview

Abdominal CT scan may be helpful in the diagnosis of Zollinger-Ellison syndrome caused by gastrinoma. Gastrinomas are frequently multiple and often extrapancreatic (90% located in the gastrinoma triangle). Thus, they can be difficult to locate. For this reason, multiphase contrast enhanced thin slice cross-sectional imaging is ideal. Findings on Abdominal CT scan suggestive of gastrinoma include clearly defined, well-enhanced mass.

Abdominal CT

  • Abdominal CT scan may be helpful in the diagnosis of Zollinger-Ellison syndrome caused by gastrinoma. Gastrinomas are frequently multiple and often extrapancreatic (90% located in the gastrinoma triangle). Thus, they can be difficult to locate. For this reason, multiphase contrast-enhanced thin slice cross-sectional imaging is ideal.[1] Findings on Abdominal CT scan suggestive of gastrinoma include clearly defined well-enhanced mass.
Abdomen CT axial (A) and coronal (B) images. Yang RH, Chu YK, CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0 [2]


  • Findings on abdominal CT scan suggestive of gastrinomas include a clearly defined and well-enhanced mass.
  • Abdominal CT scan can be used to confirm the location of the cancer and to detect distant metastasis.
Abdominal CT scan showing a 3 × 2 cm, well-defined, uniformly enhanced mass adjacent to the duodenal loop. Lee WS, Koh YS, Kim JC, CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0 [3]

References

  1. Radiographic Features of Gastrinoma. Dr. Frank Gaillard et al. Radiopaedia.org 2015. http://radiopaedia.org/articles/gastrinoma
  2. 2.0 2.1 Yang RH, Chu YK (2015). "Zollinger-Ellison syndrome: Revelation of the gastrinoma triangle". Radiol Case Rep. 10 (1): 827. doi:10.2484/rcr.v10i1.827. PMC 4921170. PMID 27408649.
  3. Lee WS, Koh YS, Kim JC, Park CH, Joo YE, Kim HS, Cho CK, Choi SK, Rew JS, Kim SJ (2005). "Zollinger-Ellison syndrome associated with neurofibromatosis type 1: a case report". BMC Cancer. 5: 85. doi:10.1186/1471-2407-5-85. PMC 1181810. PMID 16042772.

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