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Research ArticleHead and Neck

Carcinoid Tumor Metastases to the Extraocular Muscles: MR Imaging and CT Findings and Review of the Literature

A. Gupta, J.L. Chazen and C.D. Phillips
American Journal of Neuroradiology August 2011, 32 (7) 1208-1211; DOI: https://doi.org/10.3174/ajnr.A2470
A. Gupta
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J.L. Chazen
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C.D. Phillips
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  • Fig 1.
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    Fig 1.

    Coronal postcontrast T1-weighted image of the orbits in patient 1 demonstrates a heterogeneously enhancing ovoid lesion involving the right medial rectus (arrow). A similarly enhancing but larger lobulated lesion involves the left lateral rectus (arrowhead).

  • Fig 2.
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    Fig 2.

    Coronal reformat contrast-enhanced CT image of the orbits in patient 2 demonstrates a homogeneously enhancing well-circumscribed rounded mass within the left lateral rectus (arrow).

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    Fig 3.

    A, Coronal fat-saturated T2-weighted image of the orbits in patient 5 demonstrates a heterogeneously hyperintense well-circumscribed masses involving the right lateral (arrow) and left inferior recti (arrowhead). B, Axial fat-saturated T1-weighted postgadolinium image in this same patient demonstrates heterogeneous hypoenhancement of the fusiform masses of the right lateral (arrow) and left inferior recti (arrowhead).

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    Fig 4.

    Axial contrast-enhanced CT image of the orbits in patient 6 shows ovoid well-defined lesions of the right medial (black arrow) and lateral (white arrow) recti.

Tables

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  • Demographic, clinical, and imaging findings for the patient cohort

    Patient No.Age (yr)SexClinical PresentationCT or MRI AvailableEOMs InvolvedLesion MorphologyLesion MarginsInvolvement of Insertion of EOM on GlobeDensity/Intensity on Postcontrast Relative to Normal EOM
    164FProptosis and CN VI palsyMRIRt. MRFusiformWell-definedNoMildly hyperintense
    Lt. LR
    242FGaze difficulty and tearingCTLt. LRFusiformWell-definedNoModerately hyperdense
    371FN/AMRIRt. SORoundWell-definedNoMildly hypointense
    471FN/AMRIRt. LR, MR, SO, Lt. LR and IRRound and fusiformWell-definedNoMildly hypointense
    562FProptosis and painMRIRt. LRRoundWell-definedNoModerately hypointense
    Lt. IR
    653FProptosis and gaze difficultyCTRt. LR, SR, MRRound and fusiformWell-definedNoMildly hyperdense
    Lt. LR
    770MBlurry visionMRIRt. IRFusiformWell-definedNoIsointense
    Lt. IO
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American Journal of Neuroradiology: 32 (7)
American Journal of Neuroradiology
Vol. 32, Issue 7
1 Aug 2011
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Cite this article
A. Gupta, J.L. Chazen, C.D. Phillips
Carcinoid Tumor Metastases to the Extraocular Muscles: MR Imaging and CT Findings and Review of the Literature
American Journal of Neuroradiology Aug 2011, 32 (7) 1208-1211; DOI: 10.3174/ajnr.A2470

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Carcinoid Tumor Metastases to the Extraocular Muscles: MR Imaging and CT Findings and Review of the Literature
A. Gupta, J.L. Chazen, C.D. Phillips
American Journal of Neuroradiology Aug 2011, 32 (7) 1208-1211; DOI: 10.3174/ajnr.A2470
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