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Five-Year Long-Term Followup of a Primary Lymph node Gastrinoma : Is a Pancreaticoduodenectomy Justified?
Joint Authors
Kayser, Gian
Thomusch, Oliver
Steinke, Berthold
Jaenigen, Bernd
Source
Issue
Vol. 2009, Issue 2009 (31 Dec. 2009), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2009-08-26
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Background.
Gastrinoma-positive lymph nodes and failed localization of the primary tumor during surgical exploration are described.
Specialists suppose that these lymph nodes are metastases rather than a primary gastrinoma.
Methods.
Case report with a five-year long-term followup.
A 60-year-old patient with an confirmed gastrinoma was treated in our department.
All preoperative evaluations including somatostatin-receptor-scintigraphy and F-Dopa PET failed to localize the gastrinoma.
Explorative laparotomy revealed a gastrinoma in two peripancreatic lymph nodes.
Despite extensive intraoperative exploration, no primary gastrinoma could be detected in typical localization.
Results.
Over a period of 5 years, the patient's gastrin level stayed in the normal range and the patient seems to be completely cured.
Conclusion.
A prophylactic partial pancreatoduodenectomy is not indicated to avoid recurrence, since complete biochemical cure by local resection of the lymph node gastrinoma is possible.
American Psychological Association (APA)
Jaenigen, Bernd& Kayser, Gian& Steinke, Berthold& Thomusch, Oliver. 2009. Five-Year Long-Term Followup of a Primary Lymph node Gastrinoma : Is a Pancreaticoduodenectomy Justified?. Case Reports in Medicine،Vol. 2009, no. 2009, pp.1-4.
https://search.emarefa.net/detail/BIM-496825
Modern Language Association (MLA)
Jaenigen, Bernd…[et al.]. Five-Year Long-Term Followup of a Primary Lymph node Gastrinoma : Is a Pancreaticoduodenectomy Justified?. Case Reports in Medicine No. 2009 (2009), pp.1-4.
https://search.emarefa.net/detail/BIM-496825
American Medical Association (AMA)
Jaenigen, Bernd& Kayser, Gian& Steinke, Berthold& Thomusch, Oliver. Five-Year Long-Term Followup of a Primary Lymph node Gastrinoma : Is a Pancreaticoduodenectomy Justified?. Case Reports in Medicine. 2009. Vol. 2009, no. 2009, pp.1-4.
https://search.emarefa.net/detail/BIM-496825
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-496825