title: Splenic mass and isolated gastric varices: a rare presentation of a neuroendocrine tumor of the pancreas.
abstract: BACKGROUND
  Splenic involvement in neuroendocrine pancreatic tumors is well known but rarely presents as a primary splenic mass.
  
  
  METHODS
  A rare case of a neuroendocrine tumor involving the tail of the pancreas, splenic hilum and splenic flexure of the colon, forming a conglomerate mass and presenting as isolated gastric varices is described. A 75-year-old male presented with hematemesis and melena. Esophagogastroduodenoscopy revealed isolated gastric varices. A CT scan revealed a mass predominantly involving the spleen and a small part of the pancreas.
  
  
  CONCLUSIONS
  A splenic mass with isolated gastric varices should be kept in mind as one of the presentations of a pancreatic neuroendocrine tumor.
authors.affiliation: Department of Pathology, TN Medical College and BYL Nair Ch Hospital, Mumbai, India.
authors.forename: Sneha A
authors.initials: SA
authors.lastname: Shah
authors.forename: Anjali D
authors.initials: AD
authors.lastname: Amarapurkar
authors.forename: Sudesh R
authors.initials: SR
authors.lastname: Prabhu
authors.forename: Vineet
authors.initials: V
authors.lastname: Kumar
authors.forename: Gautam K
authors.initials: GK
authors.lastname: Gangurde
authors.forename: Rajeev M
authors.initials: RM
authors.lastname: Joshi
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D004932:Esophageal and Gastric Varices / Q000175:diagnosis*; D006471:Gastrointestinal Hemorrhage / Q000150:complications / Q000175:diagnosis; D006396:Hematemesis / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D008297:Male; D008551:Melena / Q000175:diagnosis / Q000209:etiology; D009378:Neoplasms, Multiple Primary / Q000150:complications / Q000175:diagnosis*; D018358:Neuroendocrine Tumors / Q000150:complications / Q000175:diagnosis*; D010190:Pancreatic Neoplasms / Q000150:complications / Q000175:diagnosis*; D013154:Spleen / Q000473:pathology*; D013160:Splenic Neoplasms / Q000150:complications / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed