Imaging findings in primary carcinoid tumour of the liver with gastrin production.
We present a 57-year-old man with Zollinger-Ellison syndrome who had undergone total gastrectomy 12 years previously. At that time, a cystic mass in the left lobe of the liver was palpated but was not removed. The patient currently had high serum gastrin levels. Abdominal ultrasound, CT and MR images showed a well defined liver mass with solid and cystic components. The lesion was resected and a primary hepatic carcinoid tumour was diagnosed. Post-operatively, serum gastrin levels were normal. A primary liver carcinoid may appear as multicystic liver mass with solid components. Careful exclusion of a primary tumour elsewhere is required to establish the diagnosis of this rare entity.
Kehagias
D
D
Department of Radiology, University of Athens, Areteion Hospital, Greece.
Moulopoulos
L
L
Smirniotis
V
V
Pafiti
A
A
Ispanopoulos
S
S
Vlahos
L
L
D002276:Carcinoid Tumor / Q000175:diagnosis*; D005755:Gastrins / Q000096:biosynthesis*; D006801:Humans; D008113:Liver Neoplasms / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D015043:Zollinger-Ellison Syndrome / Q000175:diagnosis*
D005755:Gastrins