Colonic neuroendocrine carcinoma in a child

被引:10
作者
Al Sasi, O
Sathiapalan, R
Rifai, A
Tulbah, AMM
Al-Mehaidib, A
Kofide, A
Hugosson, C
机构
[1] King Faisal Specialist Hosp & Res Ctr, Dept Radiol, Riyadh 11211, Saudi Arabia
[2] King Faisal Specialist Hosp & Res Ctr, Dept Paediat Haematol & Oncol, Riyadh 11211, Saudi Arabia
[3] King Faisal Specialist Hosp & Res Ctr, Dept Pathol, Riyadh 11211, Saudi Arabia
[4] King Faisal Specialist Hosp & Res Ctr, Dept Paediat, Riyadh 11211, Saudi Arabia
关键词
abdomen; neuroendocrine carcinoma; metastases; CT; PET; radionuclide imaging; octreotide; child;
D O I
10.1007/s00247-004-1319-0
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
A 10-year-old boy with congenital immunodeficiency (X-linked agammaglobulinaemia) presented with loss of appetite and weight, right-sided abdominal pain, diarrhoea and low-grade fever. Radiological investigations with barium follow-through, CT, PET and octreotide scans revealed a primary caecal/ascending proximal colonic mass with liver and bony metastases. Urine screen for 5HIAA was positive. Percutaneous liver biopsy confirmed the diagnosis of neuroendocrine carcinoma. The radiological work-up and the usefulness of various imaging modalities in the diagnosis of this rare paediatric tumour are discussed. The PET scan demonstrated the primary tumour and the metastatic locations more vividly than the octreotide scan, which is currently considered to be the most specific imaging modality for neuroendocrine masses.
引用
收藏
页码:339 / 343
页数:5
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