|
KMID : 1038120160490050483
|
|
Clinical Endoscopy
2016 Volume.49 No. 5 p.483 ~ p.487
|
|
|
Synchronous Peripancreatic Lymph Node Gastrinoma and Gastric Neuroendocrine Tumor Type 2
|
|
Lee Hee-Woo
Chung Jun-Won
Kim Yoon-Jae
Kwon Kwang-Ahn
Kim Eui-Joo
Kim Keon-Kuk
Lee Woon-Ki
Sym Sun-Jin
|
|
|
Abstract
|
|
|
|
A 34-year-old man was referred to our hospital with gastric polypoid lesions and biopsy-confirmed neuroendocrine tumor (NET). Computed tomography (CT) revealed a 3×3.5×8-cm retroperitoneal mass behind the pancreas, with multiple hepatic metastases. His serum gastrin level was elevated to 1,396 pg/mL. We performed a wedge resection of the stomach, a right hemi-hepatectomy, and a retroperitoneal mass excision. After careful review of the clinical, radiological, histopathological, and immunohistochemical findings, peripancreatic gastrinoma, and synchronous gastric NET were ultimately diagnosed. We reviewed a CT scan that had been performed 6 years previously after surgery for a duodenal perforation. There was no evidence of gastric or hepatic lesions, but the retroperitoneal mass was present at the same site. Had gastrinoma been detected earlier, our patient could have been cured using less invasive treatment. This case demonstrates how important it is to consider Zollinger-Ellison syndrome in patients with a recurrent or aggressive ulcer.
|
|
|
KEYWORD
|
|
|
Gastrinoma, Neuroendocrine tumors, Zollinger-Ellison syndrome
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|
|