Gastrointestinal Radiology

, Volume 3, Issue 1, pp 57–61 | Cite as

Carcinoid tumors of the alimentary tract

II. Angiographic diagnosis of small intestinal and colonic lesions
  • Mahesh Kinkhabwala
  • Emil J. Balthazar
Article

Abstract

The angiographic findings of five small intestinal and two colonie carcinoids are described and illustrated, together with a review of the pertinent literature. It is pointed out that the demonstration of a complex of angiographic findings related to the primary site, mesentery, and liver is highly specific. It helps in the preoperative diagnosis as well as in the localization and stage of development of the gastrointestinal carcinoid. The triad of findings is composed of: (a) faint to moderate staining at the primary site; (b) narrowing, obstruction of the distal mesenteric arcade, cluster of irregular kinked vessels, and encasement in the more central areas of mesentery; and (c) hypervascular liver metastasis. The colonic lesions examined are unique in the literature, and exhibited angiographic findings similar to the small bowel carcinoids.

Key words

Small intestine, neoplasms Colon, neoplasms Liver, metastases Neoplasms, diagnosis Neoplasms, angiography Carcinoid Argent-affinoma 

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Copyright information

© Springer-Verlag New York Inc 1978

Authors and Affiliations

  • Mahesh Kinkhabwala
    • 1
  • Emil J. Balthazar
    • 1
  1. 1.Department of RadiologyNew York Medical College-Metropolitan Hospital CenterNew YorkUSA

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