Carcinoid tumors: Imaging procedures and interventional radiology

Sidney Wallace, Jaffer A. Ajani, Chusilp Charnsangavej, Ronelle DuBrow, David J. Yang, Vincent P. Chuang, C. Humberto Carrasco, Gerald D. Dodd

Research output: Contribution to journalArticle

65 Citations (Scopus)

Abstract

The hypervascular nature of carcinoid tumors and their metastases allows a more aggressive role by the radiologist in diagnosis and interventional management. Double-contrast gastrointestinal studies still best define the primary neoplasms. Appendiceal tumors, the most frequent site of carcinoids, frequently escape radiologic detection until large enough to be discovered by computed tomography (CT). Superior mesenteric arteriography of the small bowel and cecum is useful when the scanning procedures are not revealing. The 'spokewheel' configuration of the desmoplastic mesenteric masses and lymph node metastases are best seen by CT, whereas hepatic metastases can be demonstrated by CT, CT-angioportography (CTAP), ultrasonography (US), magnetic resonance imaging (MRI), and octreotide scintigraphy. Percutaneous needle biopsy with radiologic guidance confirms the diagnosis of carcinoid tumors and their metastases. Hepatic arteriography is frequently performed in preparation for hepatic embolization or chemoembolization. Hepatic vascular occlusion therapy, the procedure of choice for the management of inoperable carcinoid liver metastases, results in a partial response in at least 50% of patients and a mortality rate of 5%. Chemoembolization with microencapsulated cytotoxic agents and direct percutaneous ethanol injection should also be considered for the treatment of liver metastases.

Original languageEnglish (US)
Pages (from-to)147-156
Number of pages10
JournalWorld journal of surgery
Volume20
Issue number2
DOIs
StatePublished - Mar 5 1996

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Interventional Radiology
Carcinoid Tumor
Neoplasm Metastasis
Liver
Tomography
Angiography
Octreotide
Cecum
Cytotoxins
Needle Biopsy
Radionuclide Imaging
Blood Vessels
Ultrasonography
Neoplasms
Ethanol
Lymph Nodes
Magnetic Resonance Imaging
Injections
Mortality
Therapeutics

ASJC Scopus subject areas

  • Surgery

Cite this

Wallace, S., Ajani, J. A., Charnsangavej, C., DuBrow, R., Yang, D. J., Chuang, V. P., ... Dodd, G. D. (1996). Carcinoid tumors: Imaging procedures and interventional radiology. World journal of surgery, 20(2), 147-156. https://doi.org/10.1007/s002689900023

Carcinoid tumors : Imaging procedures and interventional radiology. / Wallace, Sidney; Ajani, Jaffer A.; Charnsangavej, Chusilp; DuBrow, Ronelle; Yang, David J.; Chuang, Vincent P.; Humberto Carrasco, C.; Dodd, Gerald D.

In: World journal of surgery, Vol. 20, No. 2, 05.03.1996, p. 147-156.

Research output: Contribution to journalArticle

Wallace, S, Ajani, JA, Charnsangavej, C, DuBrow, R, Yang, DJ, Chuang, VP, Humberto Carrasco, C & Dodd, GD 1996, 'Carcinoid tumors: Imaging procedures and interventional radiology', World journal of surgery, vol. 20, no. 2, pp. 147-156. https://doi.org/10.1007/s002689900023
Wallace S, Ajani JA, Charnsangavej C, DuBrow R, Yang DJ, Chuang VP et al. Carcinoid tumors: Imaging procedures and interventional radiology. World journal of surgery. 1996 Mar 5;20(2):147-156. https://doi.org/10.1007/s002689900023
Wallace, Sidney ; Ajani, Jaffer A. ; Charnsangavej, Chusilp ; DuBrow, Ronelle ; Yang, David J. ; Chuang, Vincent P. ; Humberto Carrasco, C. ; Dodd, Gerald D. / Carcinoid tumors : Imaging procedures and interventional radiology. In: World journal of surgery. 1996 ; Vol. 20, No. 2. pp. 147-156.
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