Imaging of secretory tumors of the gastrointestinal tract

Abdom Radiol (NY). 2017 Apr;42(4):1113-1131. doi: 10.1007/s00261-016-0976-4.

Abstract

Gastrointestinal secretory tumors, or gastroenteropancreatic neuroendocrine tumors, encompass a wide array of endocrine cell tumors. The significance of these tumors lies in their ability to alter physiology through hormone production as we well as in their malignant potential. Functioning tumors may present earlier due to symptomatology; conversely, non-functioning tumors are often diagnosed late as they reach large sizes, causing symptoms secondary to local mass effect. Imaging aids in the diagnosis, staging, and prognosis and provides key information for presurgical planning. Although most of these tumors are sporadic, some are associated with important syndromes and associations, knowledge of which is critical for patient management. In this article, we provide an overview of secretory and neuroendocrine tumors of the GI tract and pancreas.

Keywords: GI carcinoid; Gastrinoma; Gastrointestinal secretory tumors; Glucagonoma; Insulinoma; Neuroendocrine tumors.

Publication types

  • Review

MeSH terms

  • Diagnosis, Differential
  • Humans
  • Intestinal Neoplasms / diagnostic imaging*
  • Intestinal Neoplasms / pathology
  • Multimodal Imaging*
  • Neoplasm Staging
  • Neuroendocrine Tumors / diagnostic imaging*
  • Neuroendocrine Tumors / pathology
  • Pancreatic Neoplasms / diagnostic imaging*
  • Pancreatic Neoplasms / pathology
  • Patient Care Planning
  • Prognosis
  • Stomach Neoplasms / diagnostic imaging*
  • Stomach Neoplasms / pathology

Supplementary concepts

  • Gastro-enteropancreatic neuroendocrine tumor