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Metastatic Midgut Carcinoid in the Myocardium

Lookup NU author(s): Dr Jakub Bukowczan, Dr George Petrides, Dr Robert James, Dr Petros Perros


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Metastasis of neuroendocrine tumor to the myocardium is rare. We present a case of 64-year-old woman, who presented initially with abdominal pain and large adnexal mass. The image-guided biopsy showed low-grade neuroendocrine tumor with Ki67 less than 2% within the ovarian tissue. CT staging revealed bilateral adnexal masses, liver metastases, and primary lesion in the terminal ileum. Octreoscan showed marked tracer uptake within the lower esophagus not related to obvious mass on CT scan; the echocardiography confirmed the presence of a 2.7 cm LV/LA mass. In this case, close correlation between ECHO and the octreoscan obviated need for myocardial biopsy.

Publication metadata

Author(s): Bukowczan J, Lois KB, Skinner J, Petrides G, James RA, Perros P

Publication type: Editorial

Publication status: Published

Journal: Clinical Nuclear Medicine

Year: 2015

Volume: 40

Issue: 9

Pages: E446-E447

Print publication date: 01/09/2015

ISSN (print): 0363-9762

ISSN (electronic): 1536-0229

Publisher: Lippincott Williams & Wilkins


DOI: 10.1097/RLU.0000000000000884