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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...

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Autores principales: Pozowski, Patryk, Misiak, Paula, Szymańska, Kinga, Mazur, Rafał, Sierpowska, Małgorzata, Silicki, Jurand, Celmer, Milena, Łasecki, Mateusz, Pawluś, Aleksander, Zaleska-Dorobisz, Urszula
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2020
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.
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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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