Carcinoid

  • Etiology: derived from enterochromaffin cells – not present under the age of 4 years
  • Imaging: most common sites – ileum and appendix, enhancing soft tissue mass or bowel wall thickening +/- mesenteric fibrosis, Pentreotide/MiBG/18F-FDG-PET
  • Complications: ileal and cecal carcinoids commonly metastasize
  • Clinical: carcinoid syndrome if spread to the liver or beyond, elevated levels of urinary 5-hydroxyindoleacetic acid (5-HIAA)

Cases of Carcinoid