title: Imaging findings in primary carcinoid tumour of the liver with gastrin production.
abstract: 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.
authors.affiliation: Department of Radiology, University of Athens, Areteion Hospital, Greece.
authors.forename: D
authors.initials: D
authors.lastname: Kehagias
authors.forename: L
authors.initials: L
authors.lastname: Moulopoulos
authors.forename: V
authors.initials: V
authors.lastname: Smirniotis
authors.forename: A
authors.initials: A
authors.lastname: Pafiti
authors.forename: S
authors.initials: S
authors.lastname: Ispanopoulos
authors.forename: L
authors.initials: L
authors.lastname: Vlahos
mesh_terms: 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*
chemical_list: D005755:Gastrins