A rare cystic non-functioning neuroendocrine pancreatic tumor with an unusual presentation.
This report describes a patient with a cystic non-functioning neuroendocrine glucagon cell pancreatic tumor presenting with demyelination of the optical nerve that had initially provoked marked monolateral reduced vision and had led to a suspected diagnosis of multiple sclerosis. Cystic degeneration is uncommon in endocrine pancreatic tumors due to their abundant vascular supply. Very few cases of cystic neuroendocrine non-functioning pancreatic tumors have been reported in the international literature. The presence of atypical neurological symptoms, such as sudden visual impairment, should be taken into account in the differential diagnosis for such tumors. The prognosis is poor, because most of these tumors are malignant and diagnosed at an advanced stage. The three-year disease-free survival of our patient, however, encourages the use of aggressive surgical treatment.
Li Destri
Giovanni
G
Department of Surgical Sciences, Transplantation and Advanced Technologies, University Hospital, Catania, Italy.
Reggio
Ester
E
Veroux
Massimiliano
M
Lanzafame
Salvatore
S
Puleo
Stefano
S
Minutolo
Vincenzo
V
D000328:Adult; D003711:Demyelinating Diseases / Q000209:etiology; D003937:Diagnosis, Differential; D005260:Female; D005935:Glucagonoma / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D009103:Multiple Sclerosis / Q000175:diagnosis; D009900:Optic Nerve / Q000503:physiopathology; D010181:Pancreatic Cyst / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D010190:Pancreatic Neoplasms / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D015354:Vision, Low / Q000209:etiology