Malignant pancreatic oncocytoma. An unusual cause of organic hypoglycemia.

Abstract:

:A case of malignant islet-cell tumor with oncocytic features occurring in a 54-year-old woman with symptoms of organic hypoglycemia is reported. The tumor was composed of ribbons of cells arranged in an endocrine pattern. The cytoplasm of these cells was eosinophilic and finely granular. Ultrastructurally, the cells contained numerous mitochondria and dense-core neurosecretory granules. Tumor cells were focally immunoreactive for neuron-specific enolase, insulin, glucagon and VIP. Capillaries invasion and metastases to lymph nodes argued in favor of malignancy but there was no subsequent malignant involvement during a 3-year follow-up after surgery. Such insulinomas with oncocytic features have not been previously described. Endocrine features in oncocytomas of the pancreas and of other locations are discussed.

journal_name

J Endocrinol Invest

authors

Sadoul JL,Saint-Paul MC,Hoffman P,Plazza M,Birtwisle Y,Freychet P,Loubiere R

doi

10.1007/BF03348712

keywords:

subject

Has Abstract

pub_date

1992-03-01 00:00:00

pages

211-7

issue

3

eissn

0391-4097

issn

1720-8386

journal_volume

15

pub_type

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