Regression of a large malignant gastrinoma on treatment with Sandostatin LAR: a case report.

Abstract:

:Gastrinomas may occur in the pancreas, duodenum or peripancreatic lymph nodes. The gastrin overproduction leads to the Zollinger-Ellison syndrome with multiple gastric and duodenal ulcers and diarrhea. About two thirds of gastrinomas are malignant. Diagnosis is made by clinical history, gastroscopy, and measurement of serum gastrin, gastric juice pH, CT scan, endoscopic ultrasonography and somatostatin receptor scintigraphy. Surgery should always be considered if the liver is not involved. Proton pump inhibitors offer symptomatic relief. Medical therapy for tumor control includes biotherapy with alpha-interferon and somatostatin analogs yielding a response rate of about 10-15%, chemotherapy or targeted radiotherapy. We describe a patient with almost complete response on treatment with Sandostatin LAR, a long-acting somatostatin analog. In patients with metastatic gastrinomas not suitable for chemotherapy, interferon or targeted radiotherapy, single therapy with somatostatin analogs may be an alternative.

journal_name

Digestion

journal_title

Digestion

authors

Granberg D,Jacobsson H,Oberg K,Gustavsson J,Lehtihet M

doi

10.1159/000122229

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

92-5

issue

2

eissn

0012-2823

issn

1421-9867

pii

000122229

journal_volume

77

pub_type

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