Carcinoid Tumor Flashcards
Origin
Neuroendocrine organs like endocrine pancreas
Site
GI tract = small intestine (appendix) =40% (major site)
Stomach
Trachea bronchial tree and lungs
Morphology
Intramural masses
Yellow/ tan colour
Very firm
Microscopy
Uniform cells:- islands, glands sheets
Cells have scant pink cytoplasm
Anaplasia
Mitotic activity
IHC strain
Chromogramin A
If carcinoid tutor produce gastin
Zollinger Ellison syndromes
If carcinoid tutor from ileum
Carcinoid syndrome
Carcinoid syndromes secrete
Vasoactive amines
Why vasoactive amines should be released to non-postal veins circulation to produce carcinoid syndrome?
As liver metabolizes them to inactive forms
Clinical features of carcinoid syndrome
Flushing of skin
Sweating
Bronco spasm
Abdominal pain
Diarrhea
Foregut carcinoid tutor
Stomach, duodenum, esophagues
Midgut carcinoid tutor
Jejunum, ileum
Hindgut carcinoids
Appendix, rectal carcinoids
Carcinoid syndrome develops with metastasis to
Liver or lungs