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THE ROENTGENOLOGIC SPECTRUM OF SMALL INTESTINAL CARCINOID TUMORS

NICHOLAS H. BANCKS M.D.1, HARVEY M. GOLDSTEIN M.D.2, and GERALD D. DODD JR. M.D.2

1 Resident, Program in Diagnostic Radiology, The University of Texas Medical School at Houston, Houston, Texas.
2 The Department of Diagnostic Radiology, University of Texas System Cancer Center, M. D. Anderson Hospital and Tumor Institute, Houston, Texas.

The roentgenologic features of small intestinal carcinoid tumors have received little attention in the literature compared to their clinical and potential pharmacologic manifestations. Eighteen proven cases were analyzed.

A variety of roentgenologic appearances may be present, reflecting the growth patterns and tissue reaction incited by the tumor. Roentgenologic appearances vary from solitary or multiple submucosal nodules to extensive mesenteric desmoplasia without demonstration of a tumor mass. Some manifestation of the desmoplastic reaction is the most common roentgen finding.

Because of the nonspecific clinical findings, the radiologist will often have the first opportunity to suggest the diagnosis.


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I. Waxman and C. C. Compton
Case 30-1993- A 59-Year-Old Woman with Abdominal Pain and an Abnormal CT Scan
N. Engl. J. Med., July 29, 1993; 329(5): 343 - 349.
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