Neuroendocrine tumour of the pancreas
with liver metastases. Multiple liver procedures including resection
of much of the right lobe with cryotherapy as well as hepatic artery
catheter therapy. Recent CT scan showed multiple hepatic lesions.
There are multiple areas of increased tracer uptake in the liver.
Prominent lesions are seen in the right lobe, just anterior to the
upper pole of the right kidney, dome of the right lobe, several
small lesions in the midline,3 lesions in the lateral left lobe
and a further lesion in the lower right lobe at the level of the
lower right kidney.
A prominent focus is also seen just anterior and closely related
to the upper pole of the left kidney.
Tracer distribution throughout the thorax and abdomen is normal.
The absence of the spleen is noted.
The scan demonstrates multiple hepatic metastases of neuroendocrine
This patient may be a suitable candidate for treatment with high-dose
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