title: Changing approach to gastroenteropancreatic tumours. Case report of a gastrinoma metastasis localized by somatostatin-receptor scintigraphy.
abstract: A 60-year-old female with a history of chronic pancreatitis and previous pancreaticojejunostomy has been submitted to distal gastric resection for recurrent perforating ulcers. A carcinoid tumour was identified in the surgical specimen. Hypergastrinaemia was subsequently diagnosed and tumour localization was carried out by a new scintigraphic technique with 111In-Pentetreotide. The tumour was found to be a metastasis confined to a peripancreatic lymph node. Surgery was successful, and 6 months later the patient is still eugastrinaemic. The different imaging methods for the identification of gastrinomas are discussed together with the current therapeutic options.
authors.affiliation: Divisione di Gastroenterologia, Università di Padova, Italy.
authors.forename: W
authors.initials: W
authors.lastname: Fries
authors.forename: P
authors.initials: P
authors.lastname: Moschino
authors.forename: F
authors.initials: F
authors.lastname: Chierichetti
authors.forename: S
authors.initials: S
authors.lastname: Carniato
authors.forename: D
authors.initials: D
authors.lastname: Martines
authors.forename: A
authors.initials: A
authors.lastname: Martin
authors.forename: A
authors.initials: A
authors.lastname: Cecchetto
authors.forename: G
authors.initials: G
authors.lastname: Ricciardi
authors.forename: V
authors.initials: V
authors.lastname: Stracca-Pansa
authors.forename: R
authors.initials: R
authors.lastname: Naccarato
authors.forename: A
authors.initials: A
authors.lastname: Corsini
mesh_terms: D004379:Duodenal Neoplasms / Q000000981:diagnostic imaging* / Q000556:secondary; D005260:Female; D015408:Gastrinoma / Q000000981:diagnostic imaging* / Q000556:secondary*; D006801:Humans; D007205:Indium Radioisotopes; D008207:Lymphatic Metastasis; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D013004:Somatostatin / Q000031:analogs & derivatives*; D015899:Tomography, Emission-Computed, Single-Photon
chemical_list: D007205:Indium Radioisotopes; D013004:Somatostatin; C081788:pentetreotide