title: Flush symptoms caused by a mesenteric carcinoid without liver metastases.
abstract: Flushing is a known symptom in intestinal carcinoid tumors which usually occurs only in the presence of liver metastases. A 62-year-old women presented with abdominal pain, nausea and flush symptoms. US, CT, octreotide scintigraphy and biopsy revealed a primary mesenteric carcinoid with retroperitoneal lymph node metastases and a solitary leftsided supraclavicular lymph node metastasis proving lymphatic spread over the thoracic duct, but liver metastases were excluded. This is a report on a mesenteric carcinoid which lead to flush symptoms despite absence of liver metastases, since retroperitoneal lymph node metastases enabled a direct hormone release into the systemic circulation.
authors.affiliation: Institute of Diagnostic Radiology, University Hospital Basel, Switzerland.
authors.forename: S
authors.initials: S
authors.lastname: Sonnet
authors.forename: W
authors.initials: W
authors.lastname: Wiesner
mesh_terms: D001706:Biopsy; D002276:Carcinoid Tumor / Q000175:diagnosis* / Q000473:pathology; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D005260:Female; D005483:Flushing / Q000209:etiology*; D006801:Humans; D008113:Liver Neoplasms / Q000175:diagnosis / Q000556:secondary; D008207:Lymphatic Metastasis; D008303:Malignant Carcinoid Syndrome / Q000175:diagnosis / Q000473:pathology; D008643:Mesentery / Q000473:pathology*; D008875:Middle Aged; D010534:Peritoneal Neoplasms / Q000175:diagnosis* / Q000473:pathology