Somatostatinoma of the Vater's papilla in a patient with von Recklinghausen's disease

Background. Somatostatinomas of the gastrointestinal tract secret hormone somatostatin which can cause "inhibitory syndrome" comprising diabetes mellitus, cholelithiasis and steatorrheic diarrhea. It is also secreted by the D cells of Langerhans's islands of the pancreas as well as en...

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Main Authors: Čolović Radoje, Micev Marjan, Grubor Nikica, Radak Vladimir
Format: Article
Language:English
Published: Military Health Department, Ministry of Defance, Serbia 2007-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2007/0042-84500703219C.pdf
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author Čolović Radoje
Micev Marjan
Grubor Nikica
Radak Vladimir
author_facet Čolović Radoje
Micev Marjan
Grubor Nikica
Radak Vladimir
author_sort Čolović Radoje
collection DOAJ
description Background. Somatostatinomas of the gastrointestinal tract secret hormone somatostatin which can cause "inhibitory syndrome" comprising diabetes mellitus, cholelithiasis and steatorrheic diarrhea. It is also secreted by the D cells of Langerhans's islands of the pancreas as well as endocrine cells of the stomack, small bowel, salivary glands and parafollicular cells of the thiroid gland. Somatostatinomas of the digestive tract appear within the pancreas and duodenum. Patients suffering from von Recklinghausens's disease are paticularly prone to the somatostatinomas of the duodenum. Case report. In this paper we presented a 51-year old female patient with von Recklinghausen's disease in whom, during the investigation for obstructive jaundice, tumor of the Vater's papilla was found. The patient was submitted to Whipple's duodenopancreatectomy. Histology and immunohistochemistry discovered type B glandular carcinoid tumor with strong antisomatostatin and mild antigastrin immunoreactivity. The patient stayed symptom-free more than four years now. Conclusion. Patients with von Recklinghausen's disease should be examined for other tumors, particularly carcinoids of the duodenum and papilla, especially if the signs of cholestasis are present.
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spelling doaj.art-b00b74f8406040acac45cb3ad78db5402022-12-22T00:23:27ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502007-01-0164321922210.2298/VSP0703219CSomatostatinoma of the Vater's papilla in a patient with von Recklinghausen's diseaseČolović RadojeMicev MarjanGrubor NikicaRadak VladimirBackground. Somatostatinomas of the gastrointestinal tract secret hormone somatostatin which can cause "inhibitory syndrome" comprising diabetes mellitus, cholelithiasis and steatorrheic diarrhea. It is also secreted by the D cells of Langerhans's islands of the pancreas as well as endocrine cells of the stomack, small bowel, salivary glands and parafollicular cells of the thiroid gland. Somatostatinomas of the digestive tract appear within the pancreas and duodenum. Patients suffering from von Recklinghausens's disease are paticularly prone to the somatostatinomas of the duodenum. Case report. In this paper we presented a 51-year old female patient with von Recklinghausen's disease in whom, during the investigation for obstructive jaundice, tumor of the Vater's papilla was found. The patient was submitted to Whipple's duodenopancreatectomy. Histology and immunohistochemistry discovered type B glandular carcinoid tumor with strong antisomatostatin and mild antigastrin immunoreactivity. The patient stayed symptom-free more than four years now. Conclusion. Patients with von Recklinghausen's disease should be examined for other tumors, particularly carcinoids of the duodenum and papilla, especially if the signs of cholestasis are present.http://www.doiserbia.nb.rs/img/doi/0042-8450/2007/0042-84500703219C.pdfneurofibromatosiscarcinoid tumorduodenumampulla of vater
spellingShingle Čolović Radoje
Micev Marjan
Grubor Nikica
Radak Vladimir
Somatostatinoma of the Vater's papilla in a patient with von Recklinghausen's disease
Vojnosanitetski Pregled
neurofibromatosis
carcinoid tumor
duodenum
ampulla of vater
title Somatostatinoma of the Vater's papilla in a patient with von Recklinghausen's disease
title_full Somatostatinoma of the Vater's papilla in a patient with von Recklinghausen's disease
title_fullStr Somatostatinoma of the Vater's papilla in a patient with von Recklinghausen's disease
title_full_unstemmed Somatostatinoma of the Vater's papilla in a patient with von Recklinghausen's disease
title_short Somatostatinoma of the Vater's papilla in a patient with von Recklinghausen's disease
title_sort somatostatinoma of the vater s papilla in a patient with von recklinghausen s disease
topic neurofibromatosis
carcinoid tumor
duodenum
ampulla of vater
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2007/0042-84500703219C.pdf
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AT micevmarjan somatostatinomaofthevaterspapillainapatientwithvonrecklinghausensdisease
AT grubornikica somatostatinomaofthevaterspapillainapatientwithvonrecklinghausensdisease
AT radakvladimir somatostatinomaofthevaterspapillainapatientwithvonrecklinghausensdisease