Volume 1, Issue 1 (Winter 2020)                   J Vessel Circ 2020, 1(1): 37-40 | Back to browse issues page

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Seyyedmajidi M, Hosseini S A, vafaeimanesh J. Anemia as the only clinical presentation of metastatic jejunal carcinoid tumor: A case report with radiological and enteroscopic findings. J Vessel Circ 2020; 1 (1) :37-40
URL: http://jvessels.muq.ac.ir/article-1-22-en.html
Anemia as the only clinical presentation of metastatic jejunal carcinoid tumor: A case report with radiological and enteroscopic findings
Mohammadreza Seyyedmajidi * 1, Seyed Ashkan Hosseini1 , Jamshid Vafaeimanesh2
1- Golestan Research Center of Gastroenterology and Hepatology-GRCGH, Golestan University of Medical Sciences, Gorgan, Iran
2- Clinical Research Development Unit of Shahid Beheshti Hospital, Qom Univercity of Medical Sciences, Qom, Iran. Qom Univercity of Medical Sciences, Qom, Iran.
Abstract:   (1714 Views)
Background: Neuroendocrine tumors (NETs) are reported to be responsible for about 2% of all malignancies of the gastrointestinal tract. They consist of several different tumors, which are emanated from the cells of the diffuse NE cell system. Carcinoids, which are also called carcinoid tumors, constitute the largest group of NE tumors with an incidence rate of about 2.5 per 100,000 people. Carcinoid tumors are distinct tumor subtypes arising from the diffuse endocrine system outside the pancreas and thyroid. This neoplasm originates from different sites, including appendix (30-45%), small bowel (25-35%), duodenum (2%), jejunum (7%), ileum (91%), multiple sites (15-35%), rectum (10-15%), caecum (5%), and stomach (0.5%). Primary jejunal carcinoid tumors are reported to be uncommon. Moreover, carcinoid tumors rarely presented with occult gastrointestinal bleeding.
Case Report: This report presents a case of metastatic jejunal carcinoid tumor in a 64-year-old male presented with anemia and positive guaiac test without any symptoms of carcinoid syndrome.
Conclusion
Primary jejunal carcinoid tumors are reported to be uncommon. Moreover, carcinoid tumors rarely presented with occult GI bleeding. Here, we report a case of jejunal carcinoid tumor with metastasis to the liver presented with anemia and positive guaiac test without any symptoms of carcinoid syndrome.

 
Keywords: Metastatic jejunal carcinoid, Anemia, Occult bleeding, Radiological and enteroscopic findings
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Type of Study: case report | Subject: vascular neurological diseases
Received: 2019/11/17 | Accepted: 2019/12/29 | Published: 2020/01/30
References
1. 1. Avcu S, Özen Ö, Bulut MD, Bora A. Hepatic metastases of primary jejunal carcinoid tumor: A case report with literature review. North Am J Med Sci 2009;1(6):305-8. PMID: 22666712
2. Xavier S, Rosa B, Cotter J. Small bowel neuroendocrine tumors: From pathophysiology to clinical approach. World J Gastrointest Pathophysiol 2016;7(1):117-24. PMID: 26909234 [DOI:10.4291/wjgp.v7.i1.117]
3. Modlin IM, Lye KD, Kidd M. A 5-decade analysis of 13,715 carcinoid tumors. Cancer 2003;97(4):934-59. PMID: 12569593 [DOI:10.1002/cncr.11105]
4. Solcia E, Kloppel G, Sobin L. Histological typing of endocrine tumors. New York, USA: Springer; 2000. P. 38-74. Link [DOI:10.1007/978-3-642-59655-1]
5. Rindi G, Villanacci V, Ubiali A. Biological and molecular aspects of gastroenteropancreatic neuroendocrine tumors. Digestion 2000;62(Suppl 1):19-26. PMID: 10940683 [DOI:10.1159/000051851]
6. Oberg K. Management of neuroendocrine tumors. Ann Oncol 2004;15(Suppl 4):293-8. PMID: 15477324
7. Akerström G, Hellman P, Hessman O, Osmak L. Management of midgut carcinoids. J Surg Oncol 2005;89(3):161-9. PMID: 15719373 [DOI:10.1002/jso.20188]
8. Maglinte DDT, Herlinger H. Small bowel neoplasms. Clinical imaging of the small intestine. 2nd ed. New York: Springer, 1999. P. 377-438. Link
9. de Vries H, Verschueren RC, Willemse PH, Kema IP, de Vries EG. Diagnostic, surgical and medical aspect of the midgut carcinoids. Cancer Treat Rev 2002;28(1):11-25. PMID: 12027412 [DOI:10.1053/ctrv.2001.0239]
10. Modlin IM, Sandor A. An analysis of 8305 cases of carcinoid tumors. Cancer 1997;79(4):813-29. PMID: 9024720 https://doi.org/10.1002/(SICI)1097-0142(19970215)79:4<813::AID-CNCR19>3.0.CO;2-2 [DOI:10.1002/(SICI)1097-0142(19970215)79:43.0.CO;2-2]
11. Ichikawa T, Haradome H, Hachiya J, Nitatori T, Araki T. Diffusion-weighted MR imaging with a single-shot echoplanar sequence: detection and characterization of focal hepatic lesions. AJR Am J Roentgenol 1998;170(2):397-402. PMID: 9456953 [DOI:10.2214/ajr.170.2.9456953]
12. Sweeney JF, Rosemurgy AS. Carcinoid tumors of the gut. Cancer Control 1997;4(1):18-24. PMID: 10762999 [DOI:10.1177/107327489700400102]
13. Avcu S, Ozen O, Bulut MD, Bora A. Hepatic metastases of primary jejunal carcinoid tumor: a case report with radiological findings. N Am J Med Sci 2009;1(6):305-8. PMID: 22666712
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