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- W2471946324 abstract "Context: Pancreatic islet cell tumors are uncommon lesions, and nonfunctional islet cell tumors presenting with pancreatitis are extremely rare. Many patients with pancreatitis and islet cell tumors may initially present with acute attacks, which sometimes recur and the diagnosis of the tumors are usually delayed. Case report: We report a case of 44-year-old man who presented with a clinical impression of “calcifying chronic pancreatitis and pseudocyst” for 1 1⁄2-year before nonfunctional islet cell tumor was diagnosed. He had a distal pancreatectomy, splenectomy and partial gastrectomy after failure of conservative management. Grossly a 1.7 cm ill-defined tumor was identified which was compressing the pancreatic duct. Histology showed nests and trabeculae of uniform endocrine cells positive for chromogranin and negative for glucagon, insulin, somatostatin and gastrin. A lymph node was positive for metastatic tumor. Conclusions: Due to this rare clinical presentation and to prevent delayed detection and complications, islet cell tumor should be considered in patients with non-remitting, persistent calcifying chronic pancreatitis. Careful pathological examination of such pancreatic resection specimen is also recommended as very small tumors can cause obstructive pancreatitis." @default.
- W2471946324 created "2016-07-22" @default.
- W2471946324 date "2010-01-01" @default.
- W2471946324 modified "2023-10-04" @default.
- W2471946324 title "Pancreatic islet cell tumor mimicking obstructive chronic pancreatitis: a case report" @default.
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- W2471946324 doi "https://doi.org/10.5580/82d" @default.
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