Carcinoid syndrome CT: Difference between revisions

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===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 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>
*Most are discovered as an incidental rounded solitary pulmonary nodule.  
*Most are discovered as an incidental solitary and round pulmonary nodule.  
*Size at diagnosis can vary but ranges around 10-30mm.  
*Size at diagnosis can vary but ranges around 10-30mm.  
*Lobulated margin with an average Hounsfield value on post contrast imaging at around 50.  
*Lobulated margin with an average Hounsfield value on post contrast imaging at around 50.  

Revision as of 20:45, 29 September 2015

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Parminder Dhingra, M.D. [2]

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, 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.[1][2]

CT

Peripheral Pulmonary Carcinoid Tumor High-Resolution CT Chest

Findings on high-resolution CT scan suggestive of peripheral pulmonary carcinoid tumor include:[2]

  • Most are discovered as an incidental solitary and round pulmonary nodule.
  • Size at diagnosis can vary but ranges around 10-30mm.
  • Lobulated margin with an average Hounsfield value on post contrast imaging at around 50.
  • Imaging features are often non specific and tissue diagnosis is essential in determining diagnosis.

Bronchial Carcinoid Tumor High-Resolution CT Chest

Findings on high-resolution CT scan suggestive of bronchial carcinoid tumor include:

  • A single hilar or perihilar mass which is usually well-defined, round or ovoid.
  • Can be of any size but typically range ~2-5 cm.
  • There is often marked homogeneous contrast enhancement due to high vascularity.
  • Calcification (usually eccentric) can occur but is not a common feature.

Thymic Carcinoid

On CT scan of the neck, thymic carcinoid tumor is characterized by a mass with heterogeneous attenuation.[1]

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References

  1. 1.0 1.1 Thymic carcinoid tumour. Dr Yuranga Weerakkody and Dr Mohammad Taghi Niknejad et al. Radiopaedia 2015. http://radiopaedia.org/articles/thymic-carcinoid-tumour
  2. 2.0 2.1 Peripheral pulmonary carcinoid tumour . Dr Henry Knipe and Dr Yuranga Weerakkody et al. Radiopaedia 2015. http://radiopaedia.org/articles/peripheral-pulmonary-carcinoid-tumour


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