Carcinoid ALSANGEDY

Tumor
 Neuroendocrine
BULLETS
tumor FOR PACES
 The most common FOR EASY PASSING PACES FROM
malignant tumor of THE 1ST ATTEMPT
Dr. Ibrahim Alsangedy
the appendix
MRCP-UK
 Metastasis may MRCPE
occur
 Most carcinoids are
asymptomatic
 10% secrete
excessive levels of
serotonin (5-HT) ALSANGEDY B ULLETS FOR PACES
 Flushing
 Diarrhea
 Wheezing
 Abdominal cramping
 Peripheral edema
 Tricuspid valve
disease syndrome
Workup Management
 Urinary 5-HIAA levels are usually
increased ALSANGEDY BULLETS FOR PACES
 Surgery, if feasible, is the only
 Plain radiography curative therapy
isangedy@gmail.com
 Upper-GI and lower-GI 00965 69691034  If the tumor has metastasized the
radiography with the use of oral Facebook page: - MRCP PACES treatment modalities, such as
contrast agents radiolabeled octreotide or the
from the 1st attempt
radiopharmaceutical 131I-mIBG
 Endoscopy used for biopsy and
Facebook group: - MRCP PACES for arresting the growth of the
diagnosis from the 1st attempt tumors and prolonging survival

 CT  Chemotherapy is of little benefit

and is generally not indicated
 MRI
 Octreotide or lanreotide may
 Angiography decrease the secretory activity of
the carcinoid, and may also have
 Positron emission tomography an anti-proliferative effect
(PET)
 Interferon treatment is also
 Scintigraphy with effective, and usually combined
metaiodobenzyl guanidine with somatostatin analogues.
(MIBG)

 Radionuclide imaging with

somatostatin analogs attached to
the radioactive tracer

 Technetium-99m bone scanning