2006, Number 3
Pancreatoduodenectomy as an alternative in the management of a non-functioning neuroendocrine tumor of the pancreas
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ABSTRACTIntroduction: Neuroendocrine tumors of the pancreas are rare neoplasms. More than half of them are functioning and are diagnosed early based on the secreted substance. Non-functioning lesions are diagnosed lately due to their unspecific symptomatology.
Objective: To present the case of a woman in whom a non-functional endocrine neoplasm was diagnosed, located in the head of the pancreas and to discuss the different ways of handling this neoplasm.
Case description: Woman, 23 years of age, with a history of 3 months of evolution with intense pruritus, weight loss, jaundice, colic-type pain in the right hypochondrium, nocturnal diaphoresis, and fever, who was referred to our hospital for definitive management. Laboratory tests revealed data of extrahepatic cholestasis. Computed tomography revealed a hypodense lesion of 6 cm in diameter. She was subjected to pancreatoduodenectomy. Immunohistochemical studies were difusely positive to chromatogranin A, synaptophysin, and neuron-specific enolose. After 2 years of follow-up the patient is asymptomatic, without evidence of tumor recurrence.
Conclusions: Radical surgical treatment is the best way to handle this entity, as it eliminates the symptoms in this type of patients, improving their quality of life and survival.
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