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Indian Journal of Pathology: Research and Practice

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Case Report

Metastatic Carcinoid in Mesenteric Lymph Node from Occult Primary in the Midgut: A Report of Two Cases

Divya Vijayanarasimha , Divya Vijayanarasimha , Aswathi Krishnan , Kavitha K.P. , Sangeetha K. , Syam Vikram , Surij Salih

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Indian Journal of Pathology: Research and Practice 3(1):p 19-22, July - December 2014. | DOI:

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Abstract

The diversity of presenting features of gastrointestinal (GI) carcinoids presents a major challenge in the diagnosis and treatment of these cases.  An increasing incidence of midgut carcinoids is being reported due to improved diagnostic modalities. Occult metastatic carcinoid in mesenteric nodes requires a diligent search for localisation of primary tumor in GIT which are often smaller in size than the metastasis and requires a high index of suspicion and meticulous examination for detection. Here we describe two cases presenting as metastatic carcinoid in mesenteric nodes of unknown origin, which on further investigation revealed primary of small size in the midgut.

Keywords: Neuroendocrine tumors; Midgut carcinoid; Metastatic carcinoid; Mesentric metastasis; Small sized carcinoid.

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