Synchronous Peripancreatic Lymph Node Gastrinoma and Gastric Neuroendocrine Tumor Type 2
| Autor: | Woon Ki Lee, Keon Kuk Kim, Kwang Ahn Kwon, Sun Jin Sym, Eui Joo Kim, Hee Woo Lee, Jun-Won Chung, Yoon Jae Kim |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
lcsh:Internal medicine Medicine (miscellaneous) Case Report 030230 surgery Neuroendocrine tumors Zollinger-Ellison syndrome Gastroenterology 03 medical and health sciences 0302 clinical medicine Gastric Neuroendocrine Tumor Internal medicine medicine Radiology Nuclear Medicine and imaging lcsh:RC799-869 lcsh:RC31-1245 Duodenal Perforation Gastrinoma business.industry Stomach medicine.disease digestive system diseases medicine.anatomical_structure 030220 oncology & carcinogenesis lcsh:Diseases of the digestive system. Gastroenterology Pancreas business Wedge resection (lung) |
| Zdroj: | Clinical Endoscopy, Vol 49, Iss 5, Pp 483-487 (2016) Clinical Endoscopy |
| ISSN: | 2234-2443 2234-2400 |
| Popis: | A 34-year-old man was referred to our hospital with gastric polypoid lesions and biopsy-confirmed neuroendocrine tumor (NET). Computed tomography (CT) revealed a 3×3.5×8-cm retroperitoneal mass behind the pancreas, with multiple hepatic metastases. His serum gastrin level was elevated to 1,396 pg/mL. We performed a wedge resection of the stomach, a right hemi-hepatectomy, and a retroperitoneal mass excision. After careful review of the clinical, radiological, histopathological, and immunohistochemical findings, peripancreatic gastrinoma, and synchronous gastric NET were ultimately diagnosed. We reviewed a CT scan that had been performed 6 years previously after surgery for a duodenal perforation. There was no evidence of gastric or hepatic lesions, but the retroperitoneal mass was present at the same site. Had gastrinoma been detected earlier, our patient could have been cured using less invasive treatment. This case demonstrates how important it is to consider Zollinger-Ellison syndrome in patients with a recurrent or aggressive ulcer. |
| Databáze: | OpenAIRE |
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