Small serotonin-positive pancreatic endocrine tumors caused obstruction of the main pancreatic duct

We report 2 cases of pancreatic endocrine tumors that caused obstruction of the main pancreatic duct(MPD).A 49-year-old asymptomatic man was referred to our institution because dilation of the MPD was revealed by abdominal ultrasonography(US).No tumor was detected by endoscopic ultrasonography,compu...

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Veröffentlicht in:World journal of gastroenterology : WJG 2012-12, Vol.18 (45), p.6669-6673
Hauptverfasser: Ogawa, Masami, Kawaguchi, Yoshiaki, Maruno, Atsuko, Ito, Hiroyuki, Nakagohri, Toshio, Hirabayashi, Kenichi, Yamamuro, Hiroshi, Yamashita, Tomohiro, Mine, Tetsuya
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container_end_page 6673
container_issue 45
container_start_page 6669
container_title World journal of gastroenterology : WJG
container_volume 18
creator Ogawa, Masami
Kawaguchi, Yoshiaki
Maruno, Atsuko
Ito, Hiroyuki
Nakagohri, Toshio
Hirabayashi, Kenichi
Yamamuro, Hiroshi
Yamashita, Tomohiro
Mine, Tetsuya
description We report 2 cases of pancreatic endocrine tumors that caused obstruction of the main pancreatic duct(MPD).A 49-year-old asymptomatic man was referred to our institution because dilation of the MPD was revealed by abdominal ultrasonography(US).No tumor was detected by endoscopic ultrasonography,computed tomography(CT),and magnetic resonance imaging(MRI).The diameter of the MPD was 〉 20 mm at the body,and no dilation was noted at the head.Although malignancy was not confirmed through cytology or imaging,pancreatic cancer was strongly suspected.Pancreaticoduo-denectomy was performed.Pathological and immunohistochemical examination revealed a 5 mm × 3 mm serotonin-positive endocrine tumor.Fibrosis was present around the MPD and seemed to cause stricture.A 32-year-old asymptomatic man had elevated serum amylase,and US demonstrated dilation of the MPD.No tumor was detected by CT and MRI.Pancreatic cancer was suspected due to stricture and dilation of the MPD.Pancreatectomy of middle part of pancreas was performed.Pathological and immunohistochemical examination revealed a serotonin-positive endocrine tumor sized 5 mm × 4 mm.We report 2 cases of serotonin-positive pancreatic endocrine tumors that caused stricture of the MPD in spite of the small size of the tumor.
doi_str_mv 10.3748/wjg.v18.i45.6669
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source MEDLINE; Baishideng "World Journal of" online journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection
subjects Adult
Case Report
Cholangiopancreatography, Endoscopic Retrograde
Diagnosis, Differential
Humans
Immunohistochemistry
Magnetic Resonance Imaging
Male
Middle Aged
Pancreatic Ducts - surgery
Pancreatic Neoplasms - diagnostic imaging
Pancreatic Neoplasms - metabolism
Pancreatitis - surgery
Serotonin - metabolism
Tomography, X-Ray Computed
Ultrasonography
内分泌
恶性肿瘤
梗阻
病理组织学
羟色胺
胰管
胰腺癌
阳性
title Small serotonin-positive pancreatic endocrine tumors caused obstruction of the main pancreatic duct
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