Zeeshan, Rehan A Khan, Faisal Murad, Zaheer M, Asif Zafar Malik.
Carcinoid Tumor.
Pak J Surg Jan ;18(2):48-50.

A 50-year-old female with history of cholecystectomy five months back, presented with vague abdominal pain, change in bowel habits, anorexia and weight loss which started one month after the previous operation. The patient reported no diarrhea or flushing. There was no history of bleeding per rectum, melena, or jaundice. On examination she was an emaciated lady with a palpable non-tender, non bloat able, mobile mass in the right lumbar region. On digital rectal examination (DRE), no abnormality was detected. Routine investigations revealed normal hemoglobin, liver function tests renal profile. Ultrasonographic findings showed a luminal mass of 8.5x 8.5 cm in right lumbar region suggestive of right colonic tumor. Liver was found normal. Barium enema showed typical apple core appearance suggestive of carcinoma cecum. Surgery was planned and a right hemicolectomy was done. Histological examination of the resected specimen revealed nests of monotonous cells with round to oval nuclei and at places cells forming tubules and cords infiltrating muscular layer up to serosa. Two out of six lymph nodes showed metastatic deposits. Diagnosis of carcinoid tumor with lymph node metastasis of ileum was suggested.

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