Nonfunctioning islet cell carcinoma--a twenty-one years survival case after distal pancreatectomy.

Abstract

A case of nonfunctioning islet cell carcinoma was reported. A 40-year-old woman was admitted with epigastralgia. Abdominal angiography and other diagnostic modalities suggested pancreatic malignancy. After distal pancreatectomy, histopathological study revealed her pancreatic tumor to be a nonfunctioning islet cell carcinoma. Fourteen years later, postoperative computed tomographic examination (CT) detected the recurrence of para-aortic lymph node metastases. Five years later, distal gastrectomy was performed to control bleeding from a gastric ulcer. Twenty-one years after the original operation, she died because of underlying metastatic carcinoma. In this case, slow growth and a low grade malignancy were characteristic. Operative removal of the tumor would be the treatment of choice even if metastatic lesions existed.

• Authors: N Eriguchi, S Aoyagi, M Hara, T Miyazaki, K Hashino, M Hashimoto, E Tanaka, I Imamura, A Jimi
• Journal: The Kurume medical journal (Kurume Med J) Vol. 45 Issue 4 Pg. 351-3 ( 1998) ISSN: 0023-5679 [Print] Japan
• PMID: 9914723 (Publication Type: Case Reports, Journal Article)

Topics

• Adenoma, Islet Cell (pathology, surgery)
• Female
• Humans
• Middle Aged
• Pancreatectomy
• Pancreatic Neoplasms (pathology, surgery)
• Time Factors