Open AccessTwo synchronous somatostatinomas of the duodenum andpancreatic head in one patient
Author(s) -
R Colović,
Slavko Matić,
Marjan Micev,
Nikica Grubor,
Henry Dushan Atkinson,
Stojan Latinčić
Publication year - 2009
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.15.5859
Subject(s) - duodenum , medicine , pancreas , whipple procedure , gastrointestinal tract , endocrine system , lesion , pylorus , pancreatic head , lymph , somatostatin , neuroendocrine tumors , gastroenterology , pancreaticoduodenectomy , stomach , surgery , pathology , hormone
Somatostatinomas are extremely rare neuroendocrine tumors of the gastrointestinal tract, first described in the pancreas in 1977 and in the duodenum in 1979. They may be functional and cause somatostatinoma or inhibitory syndrome, but more frequently are non-functioning pancreatic endocrine tumors that produce somatostatin alone. They are usually single, malignant, large lesions, frequently associated with metastases, and generally with poor prognosis. We present the unique case of a 57-year-old woman with two synchronous non-functioning somatostatinomas, one solid duodenal lesion and one cystic lesion within the head of the pancreas, that were successfully resected with a pylorus-preserving Whipple's procedure. No secondaries were found in the liver, or in any of the removed regional lymph nodes. The patient had an uneventful recovery, and remains well and symptom-free at 18 mo postoperatively. This is an extremely rare case of a patient with two synchronous somatostatinomas of the duodenum and the pancreas. The condition is discussed with reference to the literature.