[Two cases of a nonfunctioning pancreatic endocrine tumor found on a medical checkup].
Case 1) A 35-year-old man was admitted to our hospital for detailed examination of a 50-mm pancreas head tumor with surrounding lymph node swelling detected on medical checkup images. Ultrasound-guided lymph node biopsy specimens gave a diagnosis of a nonfunctioning pancreatic neuroendocrine cancer, and adjuvant systemic chemotherapy was given after surgical resection of the tumor. Case 2) A 52-year-old man was admitted to our hospital for detailed examination of an 18-mm pancreas head tumor detected by medical checkup FDG-PET images. Imaging tests gave a diagnosis of a nonfunctioning pancreatic neuroendocrine tumor. He underwent surgical resection, and the tumor was diagnosed as benign pathologically. Both cases showed FDG-PET accumulation in the tumors irrespective of their malignant or benign nature. Increased prevalence of FDG-PET checkup may increase the diagnosis of pancreatic neuroendocrine tumor in asymptomatic subjects.
Department of Gastroenterology, Kanazawa University Hospital, Japan.
Kouki
K
Nio
Tetsuro
T
Shimakami
Taro
T
Yamashita
Takashi
T
Kagaya
Yoshio
Y
Sakai
Tatsuya
T
Yamashita
Eishiro
E
Mizukoshi
Akito
A
Sakai
Yasunari
Y
Nakamoto
Masao
M
Honda
Shuichi
S
Kaneko
Hirohisa
H
Kitagawa
Masato
M
Kayahara
Tetsuo
T
Ohta
Yo
Y
Zen
D000328:Adult; D006801:Humans; D033162:Incidental Findings; D007515:Islets of Langerhans; D008297:Male; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000175:diagnosis*