Treatment Outcome of Endoscopic Ultrasound Radiofrequency Ablation for Incidentaloma Pancreatic Neuroendocrine Tumor in Young Female Patient: A 2-year Follow-Up.

Autor: Lesmana CRA; Hepatobiliary Division, Department of Internal Medicine, Dr. Cipto Mangunkusumo National General Hospital, Medical Faculty Universitas Indonesia, Jakarta, Indonesia.; Digestive Disease & GI Oncology Center, Medistra Hospital, Jakarta, Indonesia.; Gastrointestinal Cancer Center, MRCCC Siloam Semanggi Hospital, Jakarta, Indonesia., Lirendra M; Hepatobiliary Division, Department of Internal Medicine, Dr. Cipto Mangunkusumo National General Hospital, Medical Faculty Universitas Indonesia, Jakarta, Indonesia., Inggriani S; Department of Radiology, Medistra Hospital, Jakarta, Indonesia., Sudoyo AW; Digestive Disease & GI Oncology Center, Medistra Hospital, Jakarta, Indonesia.; Gastrointestinal Cancer Center, MRCCC Siloam Semanggi Hospital, Jakarta, Indonesia.; Hematology Oncology Division, Department of Internal Medicine, Dr. Cipto Mangunkusumo National General Hospital, Medical Faculty Universitas Indonesia, Jakarta, Indonesia., Lesmana L; Digestive Disease & GI Oncology Center, Medistra Hospital, Jakarta, Indonesia.; Gastrointestinal Cancer Center, MRCCC Siloam Semanggi Hospital, Jakarta, Indonesia.
Jazyk: angličtina
Zdroj: Case reports in gastroenterology [Case Rep Gastroenterol] 2022 Nov 07; Vol. 16 (3), pp. 583-587. Date of Electronic Publication: 2022 Nov 07 (Print Publication: 2022).
DOI: 10.1159/000526197
Abstrakt: Pancreatic neuroendocrine tumors (PNETs) or islet cell tumors are neuroendocrine neoplasms that arise from cells of the endocrine and nervous system within the pancreas. Patients with PNET sometimes do not show any symptoms, known as nonfunctioning (NF) sporadic PNET. It is still debatable regarding the best approach in the NF for small PNET. Currently, the surgical approach is considered the best; however, it is a highly invasive procedure, and it has a potentially high risk of complications as it requires a skilled and experienced operator. Herewith, we reported a 48-year-old female with incidentaloma of nonfunctioning PNET (NF-PNET) whose tumor has been successfully treated with endoscopic ultrasound guided radiofrequency ablation (EUSRA). There was no adverse event observed during and after the EUS procedure, and even 1 week after the procedure. One year later, abdominal magnetic resonance imaging (MRI) examination was carried out and size of the tumor was significantly getting smaller where it could hardly be seen anymore. After 2 years of follow-up, the latest abdominal MRI study showed no solid part of the tumor could be seen anymore. In conclusion, EUSRA can be an alternative option for incidentaloma of NF-PNET management.
Competing Interests: The authors of this manuscript (Cosmas Rinaldi Adithya Lesmana, Mutiara Lirendra, Sri Inggriani, Aru W. Sudoyo, and Laurentius Lesmana) have no conflicts of interest and declare no relationship with any companies whose products or services may be or will be related to the subject matter of the article.
(Copyright © 2022 by The Author(s). Published by S. Karger AG, Basel.)
Databáze: MEDLINE
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