Changing approach to gastroenteropancreatic tumours. Case report of a gastrinoma metastasis localized by somatostatin-receptor scintigraphy.
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.
Fries
W
W
Divisione di Gastroenterologia, Università di Padova, Italy.
Moschino
P
P
Chierichetti
F
F
Carniato
S
S
Martines
D
D
Martin
A
A
Cecchetto
A
A
Ricciardi
G
G
Stracca-Pansa
V
V
Naccarato
R
R
Corsini
A
A
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
D007205:Indium Radioisotopes; D013004:Somatostatin; C081788:pentetreotide