Two synchronous somatostatinomas of the duodenum and pancreatic head in one patient.

Abstract:

:Somatostatinomas are extremely rare neuroendocrine tumors of the gastrointestinal tract, first described in the pancreas in 1977 and in the duodenum in 1979. They may be functional and cause somatostatinoma or inhibitory syndrome, but more frequently are non-functioning pancreatic endocrine tumors that produce somatostatin alone. They are usually single, malignant, large lesions, frequently associated with metastases, and generally with poor prognosis. We present the unique case of a 57-year-old woman with two synchronous non-functioning somatostatinomas, one solid duodenal lesion and one cystic lesion within the head of the pancreas, that were successfully resected with a pylorus-preserving Whipple's procedure. No secondaries were found in the liver, or in any of the removed regional lymph nodes. The patient had an uneventful recovery, and remains well and symptom-free at 18 mo postoperatively. This is an extremely rare case of a patient with two synchronous somatostatinomas of the duodenum and the pancreas. The condition is discussed with reference to the literature.

journal_name

World J Gastroenterol

authors

Colović RB,Matić SV,Micev MT,Grubor NM,Atkinson HD,Latincić SM

doi

10.3748/wjg.15.5859

subject

Has Abstract

pub_date

2009-12-14 00:00:00

pages

5859-63

issue

46

eissn

1007-9327

issn

2219-2840

journal_volume

15

pub_type

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