Octreotide Case 4

Details on the Request Card

53 year old male. Previously resected 5cm ileal carcinoid tumour. Ultrasound shows probably liver metastases. Normal urinary 5HIAA (31 micromoles / 24hrs, normal range 5-37). ? Mets

Procedure

Anterior and posterior images are shown, 48hrs after injection

scan image

Questions

1) Any evidence for metastases?
2) Explain the normal 5HIAA

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The text is entirely the opinion of the author and does not necessarily reflect that of RUH NHS Trust or the Bristol Radiology Training Scheme. Website content devised by Paul McCoubrie.