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Selective mesenteric phlebography in patients with carcinoid tumors

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Abstract

Seventeen patients were investigated to localize carcinoid tumor growth in the small intestine and liver. Portography, selective phlebography of the intestinal veins, arteriography, and hormone assay (Serotonin, substance P) after simultaneous catheterization of the celiac artery and portal and caval veins were performed. Most of the patients have been operated on and findings at surgery have been compared with the preoperative localization methods. In 3 cases with small bowel carcinoids and typical fibroplastic changes of the mesentery, phlebography as well as arteriography demonstrated well the degree of mesenteric involvement. None of the methods demonstrated the primary tumors. Arteriography was superior in demonstration of liver metastasis. The hormone assay was a useful complement to angiographic techniques in the diagnosis and localization of tumor growth.

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References

  1. Boijsen, E, Kaude J, Tylén U: Radiologic diagnosis of ileal carcinoid tumors.Acta Radiol (Diagn) (Stockh) 15:65–82, 1975

    Google Scholar 

  2. Bjørn-Hansen R, Aakhus T: Angiography in intestinal carcinoid.Acta Radiol (Diagn) (Stockh) 14:721–728, 1973

    Google Scholar 

  3. Goldstein HM, Miller M: Angiographic evaluation of carcinoid tumors of the small intestine: The value of epinephrine.Radiology 114:23–28, 1975

    PubMed  Google Scholar 

  4. Kinkhabwala M, Balthazar EF: Carcinoid tumors of the alimentary tract. II.Gastrointest Radiol 3:57–61, 1978

    PubMed  Google Scholar 

  5. Welch JP, Malt RA: Management of carcinoid tumors of the gastrointestinal tract.Surg Gynecol Obstet 145:223–227, 1977

    PubMed  Google Scholar 

  6. Hudson HL, Margulis AR: Carcinoid tumors of the gastrointestinal tract.Am J Roentgenol 91:833–839, 1964

    Google Scholar 

  7. Reichardt W: Angiographischer Befund bei Carcinoid-Metastasen im Mesenterium.Fortschr Röntgenstr 129:185–188, 1978

    Google Scholar 

  8. McNeal JE: Mechanism of obstruction in carcinoid tumors of the small intestine.Am J Clin Pathol 56:452–458, 1971

    PubMed  Google Scholar 

  9. Reuter SR, Boijsen E: Angiographic findings in two ileal carcinoid tumors.Radiology 87:836–840, 1966

    PubMed  Google Scholar 

  10. Anthony PP, Drury RAB: Elastic vascular sclerosis of mesenteric blood vessels in argentaffin carcinoma.J Clin Pathol 23:110–118, 1970

    PubMed  Google Scholar 

  11. Ingemansson S: Pancreatic and intestinal vein catheterization with hormone assay. Bulletin No. 13 of the Department of Surgery, University of Lund, 221 85 Lund, Sweden, 1977

    Google Scholar 

  12. Ingemansson S, Bengmark S, Larsson LI, Lunderquist A: Aortal, caval and intestinal vein catheterization with substance-P-determination in patients with carcinoid tumors.Ann Surg. (in press)

  13. Lunderquist A, Eriksson M, Ingemansson S, Larsson LI, Reichardt W: Selective pancreatic vein catheterization for hormone assay in endocrine tumors of the pancreas.Cardiovasc Radiol 1:117–124, 1978

    PubMed  Google Scholar 

  14. Göthlin J, Lunderquist A, Tylén U: Selective Phlebography of the pancreas.Acta Radiol (Diagn) (Stockh) 15:474–480, 1974

    Google Scholar 

  15. Axelsson S, Falck B, Nobin A: Standardization and evaluation of a sensitive method for determination of serotonin in blood. (In preparation)

  16. Saavedra JM, Brownstein M, Axelrod J: A specific and sensitive enzymatic-isotopic microassay for serotonin in tissues.J Pharmacol Exp Ther 186:508–515, 1973

    PubMed  Google Scholar 

  17. Björklund A, Falck B, Owman CH: Fluorescence microscopic and microspectrofluorimetric techniques for the cellular localization and characterization of biogenic amines. In S Bersen (ed):Methods of Investigative and Diagnostic Endocrinology vol 7, JE Rall, IJ Kopin:The Thyroid and Biogenic Amines, pp 318–368. North-Holland Publishing Co, Amsterdam, 1972

    Google Scholar 

  18. Lunderquist A, Tylén U: Phlebography of the pancreatic veins.Radiologe 15:198–202, 1975

    PubMed  Google Scholar 

  19. Falconer WA, Griffiths E: The anatomy of the blood vessels in the region of the pancreas.Brit J Surg 37:334–344, 1950

    PubMed  Google Scholar 

  20. Douglass BE, Baggenstoss AH, Mollinshead WH: Anatomy of the portal vein and its tributaries.Surg Gynecol Obstet 91:562–576, 1950

    PubMed  Google Scholar 

  21. Nobin A, Axelsson S, Falck B, Ingemansson S, Lunderquist A, Reichardt W: Determination of plasma serotonin in patients with carcinoid tumors. (in press)

  22. Hoevels J: Ergebnisse der perkutanen transhepatischen Portographie.Fortschr Röntgenstr 128:432–442, 1978

    Google Scholar 

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Reichardt, W., Ingemansson, S., Lunderquist, A. et al. Selective mesenteric phlebography in patients with carcinoid tumors. Gastrointest Radiol 4, 179–189 (1979). https://doi.org/10.1007/BF01887521

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  • DOI: https://doi.org/10.1007/BF01887521

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