title: [Malignant somatostatinoma of the papilla major and minor].
abstract: In a 50-year-old man with extrahepatic cholestasis and iron-deficiency anaemia, local operative excision of a 4 cm submucous tumour of the papilla of Vater revealed on histological and immunochemical examination a somatostatinoma. Subsequent duodenopancreatectomy further demonstrated in the surgical specimen a lymph node metastasis and a 5 mm somatostatinoma in the papilla minor. The patient has now been free of symptoms for 12 months on substitution treatment with pancreatic enzymes.
authors.affiliation: 1. Medizinische Abteilung, Universität Erlangen-Nürnberg.
authors.forename: H
authors.initials: H
authors.lastname: Heidt
authors.forename: B
authors.initials: B
authors.lastname: Högel
authors.forename: J
authors.initials: J
authors.lastname: Giedl
authors.forename: F P
authors.initials: FP
authors.lastname: Gall
authors.forename: R
authors.initials: R
authors.lastname: Ottenjann
mesh_terms: D007516:Adenoma, Islet Cell; D014670:Ampulla of Vater; D002758:Cholangiography; D003138:Common Bile Duct Neoplasms; D004384:Duodenoscopy; D004386:Duodenum / Q000601:surgery; D004945:Esophagoscopy; D005773:Gastroscopy; D006801:Humans; D007150:Immunohistochemistry; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy; D010183:Pancreatic Ducts; D010190:Pancreatic Neoplasms; D013005:Somatostatinoma
vernacular_title: Malignes Somatostatinom der Papilla major und minor.