Five-Year Long-Term Followup of a Primary Lymph node Gastrinoma: Is a Pancreaticoduodenectomy Justified?
Background. Gastrinoma-positive lymph nodes and failed localization of the primary tumor during surgical exploration are described. Specialists suppose that these lymph nodes are metastases rather than a primary gastrinoma. Methods. Case report with a five-year long-term followup. A 60-year-old pati...
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| Format: | Article |
| Language: | English |
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Wiley
2009-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2009/762791 |
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| author | Bernd Jaenigen Gian Kayser Berthold Steinke Oliver Thomusch |
| author_facet | Bernd Jaenigen Gian Kayser Berthold Steinke Oliver Thomusch |
| author_sort | Bernd Jaenigen |
| collection | DOAJ |
| description | Background. Gastrinoma-positive lymph nodes and failed localization of the primary tumor during surgical exploration are described. Specialists suppose that these lymph nodes are metastases rather than a primary gastrinoma. Methods. Case report with a five-year long-term followup. A 60-year-old patient with an confirmed gastrinoma was treated in our department. All preoperative evaluations including somatostatin-receptor-scintigraphy and F-Dopa PET failed to localize the gastrinoma. Explorative laparotomy revealed a gastrinoma in two peripancreatic lymph nodes. Despite extensive intraoperative exploration, no primary gastrinoma could be detected in typical localization.
Results. Over a period of 5 years, the patient's gastrin level stayed in the normal range and the patient seems to be completely cured. Conclusion. A prophylactic partial pancreatoduodenectomy is not indicated to avoid recurrence, since complete biochemical cure by local resection of the lymph node gastrinoma is possible. |
| format | Article |
| id | doaj-art-81a9d89c1b13419aa687d0d85f3a3467 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2009-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-81a9d89c1b13419aa687d0d85f3a34672025-02-03T01:10:47ZengWileyCase Reports in Medicine1687-96271687-96352009-01-01200910.1155/2009/762791762791Five-Year Long-Term Followup of a Primary Lymph node Gastrinoma: Is a Pancreaticoduodenectomy Justified?Bernd Jaenigen0Gian Kayser1Berthold Steinke2Oliver Thomusch3Department of General and Visceral Surgery, Albert-Ludwigs University of Freiburg, 79106 Freiburg, GermanyInstitute of Pathology, Albert-Ludwigs University of Freiburg, 79106 Freiburg, GermanyDepartment of Internal Medicine, County Hospital Rottweil, 78628 Rottweil, GermanyDepartment of General and Visceral Surgery, Albert-Ludwigs University of Freiburg, 79106 Freiburg, GermanyBackground. Gastrinoma-positive lymph nodes and failed localization of the primary tumor during surgical exploration are described. Specialists suppose that these lymph nodes are metastases rather than a primary gastrinoma. Methods. Case report with a five-year long-term followup. A 60-year-old patient with an confirmed gastrinoma was treated in our department. All preoperative evaluations including somatostatin-receptor-scintigraphy and F-Dopa PET failed to localize the gastrinoma. Explorative laparotomy revealed a gastrinoma in two peripancreatic lymph nodes. Despite extensive intraoperative exploration, no primary gastrinoma could be detected in typical localization. Results. Over a period of 5 years, the patient's gastrin level stayed in the normal range and the patient seems to be completely cured. Conclusion. A prophylactic partial pancreatoduodenectomy is not indicated to avoid recurrence, since complete biochemical cure by local resection of the lymph node gastrinoma is possible.http://dx.doi.org/10.1155/2009/762791 |
| spellingShingle | Bernd Jaenigen Gian Kayser Berthold Steinke Oliver Thomusch Five-Year Long-Term Followup of a Primary Lymph node Gastrinoma: Is a Pancreaticoduodenectomy Justified? Case Reports in Medicine |
| title | Five-Year Long-Term Followup of a Primary Lymph node Gastrinoma: Is a Pancreaticoduodenectomy Justified? |
| title_full | Five-Year Long-Term Followup of a Primary Lymph node Gastrinoma: Is a Pancreaticoduodenectomy Justified? |
| title_fullStr | Five-Year Long-Term Followup of a Primary Lymph node Gastrinoma: Is a Pancreaticoduodenectomy Justified? |
| title_full_unstemmed | Five-Year Long-Term Followup of a Primary Lymph node Gastrinoma: Is a Pancreaticoduodenectomy Justified? |
| title_short | Five-Year Long-Term Followup of a Primary Lymph node Gastrinoma: Is a Pancreaticoduodenectomy Justified? |
| title_sort | five year long term followup of a primary lymph node gastrinoma is a pancreaticoduodenectomy justified |
| url | http://dx.doi.org/10.1155/2009/762791 |
| work_keys_str_mv | AT berndjaenigen fiveyearlongtermfollowupofaprimarylymphnodegastrinomaisapancreaticoduodenectomyjustified AT giankayser fiveyearlongtermfollowupofaprimarylymphnodegastrinomaisapancreaticoduodenectomyjustified AT bertholdsteinke fiveyearlongtermfollowupofaprimarylymphnodegastrinomaisapancreaticoduodenectomyjustified AT oliverthomusch fiveyearlongtermfollowupofaprimarylymphnodegastrinomaisapancreaticoduodenectomyjustified |