Skip to main content
SpringerLink
Log in

Carcinoid Tumor

  • Chapter
  • First Online:
Preoperative Assessment

  • 784 Accesses

Abstract

A 62-year-old male scheduled for ileocolic resection presented for preoperative optimization. He had a history of several months of crampy abdominal pain and obstructive symptoms. CT abdomen identified a desmoplastic mass in the small bowel mesentery encasing the major blood vessels to the right colon. Recent colonoscopy showed mild right-sided ischemic colitis and a stricture of the ileum. Biopsy of the ileal lesion identified a carcinoid tumor. A surgical approach to management was decided upon because of obstructive symptoms and worry for progressive ischemia.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 64.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 99.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Castillo J, Silvay G, Weiner M. Anesthetic management of patients with carcinoid syndrome and carcinoid heart disease: the Mount Sinai Algorithm. J Cardiothorac Vasc Anesth. 2018;32(2):1023–31.

    Article  Google Scholar 

  2. Bhosale P, Shah A, Wei W, Varadhachary G, Johnson V, Shah V, et al. Carcinoid tumours: predicting the location of the primary neoplasm based on the sites of metastases. Eur Radiol. 2013;23(2):400–7.

    Article  CAS  Google Scholar 

  3. Modlin IM, Oberg K, Chung DC, Jensen RT, de Herder WW, Thakker RV, et al. Gastroenteropancreatic neuroendocrine tumours. Lancet Oncol. 2008;9(1):61–72.

    Article  CAS  Google Scholar 

  4. Tantawy H, Myslajek T. Diseases of the gastrointestinal system. In: Hines R, Marschall K, editors. Stoelting’s anesthesia and co-existing disease. 7th ed. Philadelphia: Elsevier; 2017.

    Google Scholar 

  5. Connolly HM. Carcinoid heart disease. In: Post TW, editor. UpToDate. Waltham, MA: UpToDate; 2020.

    Google Scholar 

  6. Pellikka PA, Tajik AJ, Khandheria BK, Seward JB, Callahan JA, Pitot HC, et al. Carcinoid heart disease. Clinical and echocardiographic spectrum in 74 patients. Circulation. 1993;87(4):1188–96.

    Article  CAS  Google Scholar 

  7. Eapen DJ, Clements S Jr, Block P, Sperling L. Metastatic carcinoid disease inducing coronary vasospasm. Tex Heart Inst J. 2012;39(1):76–8.

    PubMed  PubMed Central  Google Scholar 

  8. Langer C, Piper C, Vogt J, Heintze J, Butz T, Lindner O, et al. Atrial fibrillation in carcinoid heart disease: the role of serotonin. A review of the literature. Clin Res Cardiol. 2007;96(2):114–8.

    Article  CAS  Google Scholar 

  9. Rupp AB, Ahmadjee A, Morshedzadeh JH, Ranjan R. Carcinoid syndrome-induced ventricular tachycardia. Case Rep Cardiol. 2016;2016:9142598.

    PubMed  PubMed Central  Google Scholar 

  10. Topol EJ, Fortuin NJ. Coronary artery spasm and cardiac arrest in carcinoid heart disease. Am J Med. 1984;77(5):950–2.

    Article  CAS  Google Scholar 

  11. Lewis MA, Hobday TJ. Treatment of neuroendocrine tumor liver metastases. Int J Hepatol. 2012;2012:973946.

    Article  Google Scholar 

  12. Riihimaki M, Hemminki A, Sundquist K, Sundquist J, Hemminki K. The epidemiology of metastases in neuroendocrine tumors. Int J Cancer. 2016;139(12):2679–86.

    Article  Google Scholar 

  13. John BJ, Davidson BR. Treatment options for unresectable neuroendocrine liver metastases. Expert Rev Gastroenterol Hepatol. 2012;6(3):357–69.

    Article  CAS  Google Scholar 

  14. Mayo SC, de Jong MC, Pulitano C, Clary BM, Reddy SK, Gamblin TC, et al. Surgical management of hepatic neuroendocrine tumor metastasis: results from an international multi-institutional analysis. Ann Surg Oncol. 2010;17(12):3129–36.

    Article  Google Scholar 

  15. Wijeysundera DN, Finlayson E. Preoperative evaluation. In: Gropper MA, editor. Miller’s anesthesia. 9th ed. Philadelphia: Elsevier; 2020. p. 918–98.

    Google Scholar 

  16. Reubi JC, Kvols LK, Waser B, Nagorney DM, Heitz PU, Charboneau JW, et al. Detection of somatostatin receptors in surgical and percutaneous needle biopsy samples of carcinoids and islet cell carcinomas. Cancer Res. 1990;50(18):5969–77.

    CAS  PubMed  Google Scholar 

  17. Ang Chan J, Kulke M, Clancy T. Metastatic well-differentiated pancreatic neuroendocrine tumors: systemic therapy options to control tumor growth and symptoms of hormone hypersecretion. In: Post TW, editor. UpToDate. Waltham, MA: UpToDate; 2020.

    Google Scholar 

  18. Seymour N, Sawh SC. Mega-dose intravenous octreotide for the treatment of carcinoid crisis: a systematic review. Can J Anaesth. 2013;60(5):492–9.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Anesthesiology & Pain Medicine, University of Alberta, Edmonton, AB, Canada

    Derek Dillane

  2. Department of Surgery, University of Alberta, Edmonton, AB, Canada

    Ryan Snelgrove

Authors
  1. Derek Dillane
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ryan Snelgrove
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Anesthesiology and Pain Medicine, University of Alberta, Edmonton, AB, Canada

    Derek Dillane

  2. Department of Anesthesiology and Pain Medicine, University of Alberta, Edmonton, AB, Canada

    Barry A. Finegan

Rights and permissions

Reprints and permissions

Copyright information

© 2021 The Author(s)

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Dillane, D., Snelgrove, R. (2021). Carcinoid Tumor. In: Dillane, D., Finegan, B.A. (eds) Preoperative Assessment. Springer, Cham. https://doi.org/10.1007/978-3-030-58842-7_25

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-58842-7_25

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-58841-0

  • Online ISBN: 978-3-030-58842-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation