Primary peripancreatic lymph node gastrinoma in a woman with MEN1
Journal of Hepato-Biliary-Pancreatic Surgery, ISSN: 0944-1166, Vol: 13, Issue: 5, Page: 477-481
2006
- 11Citations
- 8Captures
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
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Metrics Details
- Citations11
- Citation Indexes11
- CrossRef11
- 10
- Captures8
- Readers8
Article Description
A 39-year-old woman was admitted to hospital due to perforated relapsing duodenal ulcer. Clinical, laboratory, and surgical examinations revealed a peripancreatic lymph node gastrinoma as the cause of Zollinger-Ellison syndrome. Further examinations established multiple endocrine neoplasia type 1 (MEN1) with a germline mutation at codon 1153 (T->A) in exon 7, causing an amino-acid change, from isoleucine to asparagine (Ile348Asn), in the MEN1 gene. The following findings strongly supported a diagnosis of primary lymph node gastrinoma: a rapid fall of the serum gastrin level after operation, the continuous normalization of the serum gastrin level before and after secretin stimulation, the lack of any symptoms, and the absence of another tumor for 13 years after surgical resection of the tumor-bearing lymph node. A review of similar cases in the world literature reveals that not all gastrinomas in lymph nodes are the result of metastastic spread. A long-term symptom-free follow-up after the excision of a lymphnode gastrinoma is the only reliable criterion for the diagnosis of a primary lymph node tumor. To our knowledge, this is the only well-documented case of a primary lymph node gastrinoma in a patient with MEN1. Our case supports the idea that any gastrinoma in patients with MEN1 should be surgically resected for cure if possible. © Springer-Verlag Tokyo 2006.
Bibliographic Details
http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=33749244257&origin=inward; http://dx.doi.org/10.1007/s00534-006-1111-7; http://www.ncbi.nlm.nih.gov/pubmed/17013727; http://link.springer.com/10.1007/s00534-006-1111-7; http://www.springerlink.com/index/10.1007/s00534-006-1111-7; http://www.springerlink.com/index/pdf/10.1007/s00534-006-1111-7; https://dx.doi.org/10.1007/s00534-006-1111-7; https://link.springer.com/article/10.1007/s00534-006-1111-7
Springer Science and Business Media LLC
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