title: Metastatic Midgut Carcinoid in the Myocardium.
abstract: Metastasis of neuroendocrine tumor to the myocardium is rare. We present a case of 64-year-old woman, who presented initially with abdominal pain and large adnexal mass. The image-guided biopsy showed low-grade neuroendocrine tumor with Ki67 less than 2% within the ovarian tissue. CT staging revealed bilateral adnexal masses, liver metastases, and primary lesion in the terminal ileum. Octreoscan showed marked tracer uptake within the lower esophagus not related to obvious mass on CT scan; the echocardiography confirmed the presence of a 2.7 cm LV/LA mass. In this case, close correlation between ECHO and the octreoscan obviated need for myocardial biopsy.
authors.affiliation: From the *Regional Neuroendocrine Tumour Service, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK, †Department of Cardiology, Royal Victoria Infirmary, Newcastle upon Tyne, UK, and ‡Department of Nuclear Medicine, Royal Victoria Infirmary, Newcastle upon Tyne, UK.
authors.forename: Jakub
authors.initials: J
authors.lastname: Bukowczan
authors.forename: Konstantinos B
authors.initials: KB
authors.lastname: Lois
authors.forename: Jane
authors.initials: J
authors.lastname: Skinner
authors.forename: George
authors.initials: G
authors.lastname: Petrides
authors.forename: Robert Andrew
authors.initials: RA
authors.lastname: James
authors.forename: Petros
authors.initials: P
authors.lastname: Perros
mesh_terms: D002276:Carcinoid Tumor / Q000000981:diagnostic imaging* / Q000473:pathology; D005260:Female; D005770:Gastrointestinal Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D006338:Heart Neoplasms / Q000000981:diagnostic imaging* / Q000556:secondary; D006801:Humans; D008875:Middle Aged; D014057:Tomography, X-Ray Computed