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Journal of Case Reports
Insidious Presentation of an Ileal Neuroendocrine Tumor
Dion Koh, Michael Wei, Asiri Arachchi, Zeev Duieb
Department of Colorectal Surgery, Dandenong Hospital, Dandenong Monash Surgical Research Group, Australia.
Corresponding Author:
Dr Dion Koh
Email: dion.koh@monashhealth.org
Received: 23-AUG-2021 Accepted: 06-MAY-2022 Published Online: 25-MAY-2022
DOI: http://dx.doi.org/10.17659/01.2022.0015
Background: Small bowel neuroendocrine tumors (SBNETs) are difficult to diagnose due to the presence of non-specific symptoms and the absence of radiological features on computed tomography scans. Case Report: We hereby describe 36-year-old female whose mesenteric node masked the underlying diagnosis of an ileal NET. Specific investigations such as positron emission tomography gallium DOTATATE scan and chromogranin-A blood test have high sensitivity and specificity to diagnose neuroendocrine tumors (NET). Tissue diagnosis also plays a pivotal role to aid diagnosis. Conclusion: This report describes a case where the diagnosis of an ileal NET, with local mesenteric node involvement, was initially misdirected and worked up as a hematological presentation.
Keywords : Mesenteric Lymphadenitis, Neuroendocrine Carcinoma, Positron-Emission Tomography, Small Intestine.
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