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KMID : 0359019930130030581
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Korean Journal of Gastrointestinal Endoscopy
1993 Volume.13 No. 3 p.581 ~ p.586
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Nonfunctioning Pancreatic Islet Cell Tumor -A case report-
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이영식
정재복/최윤정/김명욱/신현승/한기준/강진경/박인서/최인준
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Abstract
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A case of nonfunctioning pancreatic islet cell tumor is described. A 34 years old female patients had intermittent epigastric pain and nausea for 6 months and she had nothing suggestive of neuroendocrine symtoms. Physcial examination showed an
epigastric mass which was deepseated, nontender, and well-demarcated. The routine upper endoscopic evaluation was negative. Abdominal ultrasonography and computed tomography showed a well-defined round solid mass with multifocal necrosis but did
not
revealed the origin of the lesion. Lesion. Endoscopic retrograde pancreatography showed upward and rightward displacement of the proximal body portion of main pancreatic duct with nonvisualization of the secondary branches of pancreatic duct,
suggesting
that the mass originated from the pancreas. Resection of the mass with partial pancreatectomy and Roux-en-Y pancreaticojejunostomy was perfomed and the pathology was confirmed as nonfunctioning pancreatic islet cell tumor containing somatostatin
by
immunohistochemical technique
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KEYWORD
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