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MRI Findings of an Ampulla of Vater Neuroendocrine Tumor with Liver and Lymph Node Metastasis: a Case Report

  • Noh, Jung Hyun (Department of Radiology, Dankook University Hospital, Dankook University School of Medicine) ;
  • Park, Mi Hyun (Department of Radiology, Dankook University Hospital, Dankook University School of Medicine) ;
  • Choi, Seung Kyu (Department of Pathology, Dankook University Hospital, Dankook University School of Medicine)
  • Received : 2018.04.10
  • Accepted : 2018.05.30
  • Published : 2018.06.30

Abstract

An ampulla of Vater neuroendocrine tumor (AOV-NET) is a rare subset of gastroenteropancreatic neuroendocrine tumors (GEP-NETs). Very few studies have been undertaken regarding MRI findings of an AOV-NET. We report on a case of a 59-year-old woman diagnosed with an AOV-NET with liver and lymph node metastasis, with an emphasis on the MRI findings. This case shows rare and precious typical MRI findings of an AOV-NET. The MRI visualized the AOV-NET very well and is helpful for the differentiation of an AOV-NET from other tumors in the ampullary area as well as with treatment planning.

Keywords

References

  1. Sahani DV, Bonaffini PA, Fernandez-Del Castillo C, Blake MA. Gastroenteropancreatic neuroendocrine tumors: role of imaging in diagnosis and management. Radiology 2013;266:38-61 https://doi.org/10.1148/radiol.12112512
  2. Jayant M, Punia R, Kaushik R, et al. Neuroendocrine tumors of the ampulla of vater: presentation, pathology and prognosis. JOP 2012;13:263-267
  3. Carter JT, Grenert JP, Rubenstein L, Stewart L, Way LW. Neuroendocrine tumors of the ampulla of Vater: biological behavior and surgical management. Arch Surg 2009;144:527-531 https://doi.org/10.1001/archsurg.2009.80
  4. Dumitrascu T, Dima S, Herlea V, Tomulescu V, Ionescu M, Popescu I. Neuroendocrine tumours of the ampulla of Vater: clinico-pathological features, surgical approach and assessment of prognosis. Langenbecks Arch Surg 2012;397:933-943 https://doi.org/10.1007/s00423-012-0951-7
  5. Yang K, Yun SP, Kim S, Shin N, Park DY, Seo HI. Clinicopathological features and surgical outcomes of neuroendocrine tumors of ampulla of Vater. BMC Gastroenterol 2017;17:70 https://doi.org/10.1186/s12876-017-0630-9
  6. Raman SP, Fishman EK. Abnormalities of the distal common bile duct and ampulla: diagnostic approach and differential diagnosis using multiplanar reformations and 3D imaging. AJR Am J Roentgenol 2014;203:17-28 https://doi.org/10.2214/AJR.13.11288
  7. Lewis RB, Lattin GE Jr, Paal E. Pancreatic endocrine tumors: radiologic-clinicopathologic correlation. Radiographics 2010;30:1445-1464 https://doi.org/10.1148/rg.306105523
  8. Tsukagoshi M, Hosouchi Y, Araki K, et al. Neuroendocrine tumor of the ampulla of Vater with distant cystic lymph node metastasis: a case report. Surg Case Rep 2016;2:73 https://doi.org/10.1186/s40792-016-0202-1
  9. Saeed A, Buell JF, Kandil E. Surgical treatment of liver metastases in patients with neuroendocrine tumors. Ann Transl Med 2013;1:6
  10. Dromain C, de Baere T, Baudin E, et al. MR imaging of hepatic metastases caused by neuroendocrine tumors: comparing four techniques. AJR Am J Roentgenol 2003;180:121-128 https://doi.org/10.2214/ajr.180.1.1800121