Misleading clinical presentation of carcinoid syndrome
نویسندگان
چکیده
Rare cases of carcinoid syndromes can develop from either gastrointestinal neuroendocrine tumors (NETs) without liver metastasis or large retroperitoneal involvement. We report a case patient with isolated flushing highly suggestive syndrome caused by an ileal NET adjacent lymph node metastases but no metastases. The final diagnose was delayed for this due to combination misleading clinical presentation and negative usual screening tests (urinary 5-HIAA serum chromogranine A). Given its high sensitivity specificity, 68 Ga-DOTATATE PET confirmed the diagnosis tumor. Therefore, reminds clinicians that may manifest as only highlights imaging is major aspect evaluation patients suspected NETs.
منابع مشابه
Right Heart Failure as “Sole” Presentation of Carcinoid Syndrome
Carcinoid tumors are rare neuroendocrine tumors that arise from neural crest amine precursor uptake decarboxylation cells. Most of carcinoid tumors originate in the midgut. The vasoactive secretory products of carcinoid tumor upon metastasis to liver reach systemic circulation as they bypass the metabolism by liver. 50% of patients with carcinoid syndrome eventually develop carcinoid heart dise...
متن کاملScimitar Syndrome: Pathology, Clinical Presentation, Radiographic Features, and Treatment
Scimitar syndrome is characterized by partial or total anomalous pulmonary venous return from the right lung along with pulmonary hypoplasia.Wesearched the mail databases such as Medline (via PubMed), Scopus and EMBASE and Google Scholar. Diagnosing infantile scimitar syndrome requires meticulous attention and high suspicion of the early referral and management. The association of the syndrome ...
متن کاملSheehan’s syndrome presenting as psychosis: a rare clinical presentation
Sheehan’s syndrome (SS) refers to the occurrence of varying degree of hypopituitarism after parturition (1). It is a rare cause of hypopituitarism in developed countries owing to advances in obstetric care and its frequency is decreasing worldwide. However, it is still frequent in underdeveloped and developing countries. Sheehan’s syndrome is often diagnosed late as it evolves slowly (2,3). Re...
متن کاملMetastatic carcinoid tumor--atypical presentation.
Carcinoid tumor is a slow-growing type of neuroendocrine tumor, originating in the enterochromaffin cells and secreting mainly serotonin. Neuroendocrine tumors (NETs) are found throughout the intestinal tract, the appendix and terminal ileum being the most common locations, and are classified by site of origin and by degree of differentiation, with well-differentiated lesions representing those...
متن کاملManagement of carcinoid syndrome.
Carcinoid tumours are uncommon neoplasms with a reported incidence of 1.5 per 100 000 population. Although they can develop in any organ derived from primitive endoderm, they occur most frequently in the appendix. Primary carcinoid tumours can be classified according to their site of origin. Although this classification into fore-gut, mid-gut or hind-gut tumours is of no prognostic significance...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Acta gastro-enterologica belgica
سال: 2021
ISSN: ['1784-3227']
DOI: https://doi.org/10.51821/84.3.016