Metastatic Midgut Carcinoid in the Myocardium. (September 2015)

• Record Type: Journal Article
• Authors: Bukowczan, Jakub; Lois, Konstantinos B.; Skinner, Jane; Petrides, George; James, Robert Andrew; Perros, Petros
• Is Part Of: Clinical nuclear medicine. Volume 40:Number 9(2015)
• Publication Date: 2015-09
• Subjects: neuroendocrine tumor -- metastasis -- myocardium -- octreoscan; Nuclear medicine -- Periodicals; Radioisotope scanning -- Periodicals; Nuclear Medicine -- Periodicals; 616.07575
• DOI: 10.1097/RLU.0000000000000884
• Languages: English
• ISSNs: 0363-9762

Abstract

Abstract : Abstract: 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.