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Atypical Enhancement of Gd-BOPTA on the Hepatobiliary Phase in Hepatic Metastasis from Carcinoid Tumor – Case Report
Patient: Female, 65-year-old Final Diagnosis: Carcinoid tumor Symptoms: Abdominal pain Medication: — Clinical Procedure: — Specialty: Radiology OBJECTIVE: Unknown ethiology BACKGROUND: Carcinoid tumor is the most frequent neuroendocrine tumor (NET) that causes liver metastases. One of the best metho...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
International Scientific Literature, Inc.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7491956/ https://www.ncbi.nlm.nih.gov/pubmed/32883944 http://dx.doi.org/10.12659/AJCR.924280 |
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author | Pozowski, Patryk Misiak, Paula Szymańska, Kinga Mazur, Rafał Sierpowska, Małgorzata Silicki, Jurand Celmer, Milena Łasecki, Mateusz Pawluś, Aleksander Zaleska-Dorobisz, Urszula |
author_facet | Pozowski, Patryk Misiak, Paula Szymańska, Kinga Mazur, Rafał Sierpowska, Małgorzata Silicki, Jurand Celmer, Milena Łasecki, Mateusz Pawluś, Aleksander Zaleska-Dorobisz, Urszula |
author_sort | Pozowski, Patryk |
collection | PubMed |
description | Patient: Female, 65-year-old Final Diagnosis: Carcinoid tumor Symptoms: Abdominal pain Medication: — Clinical Procedure: — Specialty: Radiology OBJECTIVE: Unknown ethiology BACKGROUND: Carcinoid tumor is the most frequent neuroendocrine tumor (NET) that causes liver metastases. One of the best methods to assess this type of pathology is magnetic resonance imaging with hepatocyte-specific contrast media with low molecular weight gadolinium chelate Gd-BOPTA. As these lesions do not contain hepatocytes, they present as hypointense on MRI in comparison with liver tissue which enhances this type of contrast. CASE REPORT: In this article, we present a case of a 65-year-old female patient who was admitted to the Emergency Department with abdominal pain. Computed tomography revealed a single focal lesion in her liver. The patient underwent further evaluation using magnetic resonance imaging (MRI). The hepatobiliary phase MRI showed an unspecific homogenous enhancement of the hepatobiliary agent Gd-BOPTA. Since the lesion was interpreted as a non-characteristic lesion, the patient was discharged from the hospital with a recommendation for early follow-up. The follow-up MRI 6 months after discharge disclosed multiple liver metastases. CONCLUSIONS: Liver metastases generally demonstrate enhancement of hepatobiliary contrast agents in the T1-weighted hepatocellular phase. Metastasis from a carcinoid tumor may also demonstrate this enhancement. |
format | Online Article Text |
id | pubmed-7491956 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | International Scientific Literature, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-74919562020-09-28 Atypical Enhancement of Gd-BOPTA on the Hepatobiliary Phase in Hepatic Metastasis from Carcinoid Tumor – Case Report Pozowski, Patryk Misiak, Paula Szymańska, Kinga Mazur, Rafał Sierpowska, Małgorzata Silicki, Jurand Celmer, Milena Łasecki, Mateusz Pawluś, Aleksander Zaleska-Dorobisz, Urszula Am J Case Rep Articles Patient: Female, 65-year-old Final Diagnosis: Carcinoid tumor Symptoms: Abdominal pain Medication: — Clinical Procedure: — Specialty: Radiology OBJECTIVE: Unknown ethiology BACKGROUND: Carcinoid tumor is the most frequent neuroendocrine tumor (NET) that causes liver metastases. One of the best methods to assess this type of pathology is magnetic resonance imaging with hepatocyte-specific contrast media with low molecular weight gadolinium chelate Gd-BOPTA. As these lesions do not contain hepatocytes, they present as hypointense on MRI in comparison with liver tissue which enhances this type of contrast. CASE REPORT: In this article, we present a case of a 65-year-old female patient who was admitted to the Emergency Department with abdominal pain. Computed tomography revealed a single focal lesion in her liver. The patient underwent further evaluation using magnetic resonance imaging (MRI). The hepatobiliary phase MRI showed an unspecific homogenous enhancement of the hepatobiliary agent Gd-BOPTA. Since the lesion was interpreted as a non-characteristic lesion, the patient was discharged from the hospital with a recommendation for early follow-up. The follow-up MRI 6 months after discharge disclosed multiple liver metastases. CONCLUSIONS: Liver metastases generally demonstrate enhancement of hepatobiliary contrast agents in the T1-weighted hepatocellular phase. Metastasis from a carcinoid tumor may also demonstrate this enhancement. International Scientific Literature, Inc. 2020-09-04 /pmc/articles/PMC7491956/ /pubmed/32883944 http://dx.doi.org/10.12659/AJCR.924280 Text en © Am J Case Rep, 2020 This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) ) |
spellingShingle | Articles Pozowski, Patryk Misiak, Paula Szymańska, Kinga Mazur, Rafał Sierpowska, Małgorzata Silicki, Jurand Celmer, Milena Łasecki, Mateusz Pawluś, Aleksander Zaleska-Dorobisz, Urszula Atypical Enhancement of Gd-BOPTA on the Hepatobiliary Phase in Hepatic Metastasis from Carcinoid Tumor – Case Report |
title | Atypical Enhancement of Gd-BOPTA on the Hepatobiliary Phase in Hepatic Metastasis from Carcinoid Tumor – Case Report |
title_full | Atypical Enhancement of Gd-BOPTA on the Hepatobiliary Phase in Hepatic Metastasis from Carcinoid Tumor – Case Report |
title_fullStr | Atypical Enhancement of Gd-BOPTA on the Hepatobiliary Phase in Hepatic Metastasis from Carcinoid Tumor – Case Report |
title_full_unstemmed | Atypical Enhancement of Gd-BOPTA on the Hepatobiliary Phase in Hepatic Metastasis from Carcinoid Tumor – Case Report |
title_short | Atypical Enhancement of Gd-BOPTA on the Hepatobiliary Phase in Hepatic Metastasis from Carcinoid Tumor – Case Report |
title_sort | atypical enhancement of gd-bopta on the hepatobiliary phase in hepatic metastasis from carcinoid tumor – case report |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7491956/ https://www.ncbi.nlm.nih.gov/pubmed/32883944 http://dx.doi.org/10.12659/AJCR.924280 |
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