
Health Dictionary
Reliable, easy-to-read patient information on common medical conditions β written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Carcinoid syndrome CT
Introduction
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.
CT
CT
Midgut Carcinoids
- CT is poor in detecting primary carcinoid tumor but helpful in evaluating the extent of tumour spread before surgical exploration.[1]
- 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 CT appearance as a ill-defined mesenteric mass containing calcification in up to 70% of cases.[2]
- 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
Findings on high-resolution CT scan suggestive of peripheral pulmonary carcinoid tumor include:[3]
- Discovered as an incidental solitary and round pulmonary nodule
- Size at diagnosis can vary but ranges between 10-30 mm
- Lobulated margin
Bronchial Carcinoid Tumor High-Resolution CT Chest
Findings on high-resolution CT scan suggestive of bronchial carcinoid tumor include:[4][5]
- Well-defined single hilar or perihilar mass
- Round or ovoid in shape
- Variable in size but typically ranges between 2-5 cm
- Marked homogeneous contrast enhancement due to high vascularity
- Calcification (usually eccentric) can occur
Thymic Carcinoid
Findings on neck CT scan suggestive of thymic carcinoid tumor include:[6]
- Mass with heterogeneous attenuation
References
References
- β Sugimoto E, LΓΆrelius LE, Eriksson B, Oberg K (July 1995). “Midgut carcinoid tumours. CT appearance”. Acta Radiol. 36 (4): 367β71. PMIDΒ 7619613.
- β Cockey BM, Fishman EK, Jones B, Siegelman SS (1985). “Computed tomography of abdominal carcinoid tumor”. J Comput Assist Tomogr. 9 (1): 38β42. PMIDΒ 3968277.
- β Peripheral pulmonary carcinoid tumour. Dr Henry Knipe and Dr Yuranga Weerakkody et al. Radiopaedia 2015. http://radiopaedia.org/articles/peripheral-pulmonary-carcinoid-tumour
- β Bronchial carcinoid tumour. Dr Henry Knipe and Dr Yuranga Weerakkody et al. Radiopaedia 2015. http://radiopaedia.org/articles/bronchial-carcinoid-tumour
- β 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): 351β65. doi:10.1148/radiographics.22.2.g02mr01351. PMIDΒ 11896225.
- β Thymic carcinoid tumour. Dr Yuranga Weerakkody and Dr Mohammad Taghi Niknejad et al. Radiopaedia 2015. http://radiopaedia.org/articles/thymic-carcinoid-tumour
- β 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
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]Associate Editor(s)-in-Chief: Parminder Dhingra, M.D. [3]

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