title: A unique apudoma producing the glucagonoma and gastrinoma syndromes.
abstract: A patient is described who presented with a 10 year history of intermittent peptic ulcer symptoms and a 3 year history of an undiagnosed skin rash. Investigations indicated raised plasma levels of gastrin, glucagon and pancreatic polypeptide. A single tumour was localised to the pancreas and resected. The tumour had the typical histology of an apudoma, and contained cells which stained for gastrin, glucagon, pancreatic polypeptide and neurotensin.
mesh_terms: D000368:Aged; D001079:Apudoma / Q000378:metabolism*; D005755:Gastrins / Q000378:metabolism; D005934:Glucagon / Q000378:metabolism; D006801:Humans; D008297:Male; D010190:Pancreatic Neoplasms / Q000378:metabolism*; D010191:Pancreatic Polypeptide / Q000378:metabolism; D013577:Syndrome
chemical_list: D005755:Gastrins; D010191:Pancreatic Polypeptide; D005934:Glucagon