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Metastatic Neuroendocrine Tumor with Cardiac Involvement Utilizing Multi-Modality Imaging

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https://e-kcj.org A 41-year-old female with history of benign carcinoid tumor status post nephrectomy presents with left upper quadrant abdominal pain. Computed tomography (CT) demonstrated a large retroperitoneal mass with biopsy… Click to show full abstract

https://e-kcj.org A 41-year-old female with history of benign carcinoid tumor status post nephrectomy presents with left upper quadrant abdominal pain. Computed tomography (CT) demonstrated a large retroperitoneal mass with biopsy revealing a low-grade neuroendocrine tumor. A Gallium-68 DOTATATE positron emission tomography (PET)/CT scan confirmed the retroperitoneal mass, as well as multifocal radiotracer uptake in the heart (Figure 1A). Transthoracic echocardiogram demonstrated a large echogenic mass along the inferolateral wall with minimal ultrasound contrast uptake (Figure 1B-1D). Cardiac magnetic resonance imaging (MRI) demonstrated multiple high T2 signal masses in the left and right ventricular wall with minimal gadolinium enhancement (Figure 1E and 1F). The patient subsequently underwent resection of the mass. Korean Circ J. 2019 Jun;49(6):557-558 https://doi.org/10.4070/kcj.2018.0367 pISSN 1738-5520·eISSN 1738-5555

Keywords: metastatic neuroendocrine; neuroendocrine tumor; tumor cardiac; mass; cardiac involvement; tumor

Journal Title: Korean Circulation Journal
Year Published: 2019

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