Octreotide Case 5

Details on the Request Card

51 year old male. Previous resected appendiceal carcinoid. Ultrasound shows abnormal liver texture ?metastases. Urinary 5HIAA 2502 (normal 5-37), serum chromogranin A 10180 units / l

Procedure

Anterior and posterior images are shown, 48hrs after injection

scan image

Questions

1) Any evidence for metastases?
2) Why does the presence of metastases matter?
3) What is chromogranin A?

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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.