Urdangarin Angélica, Iñiguez Germán, Benavides Carlos, Castillo Cecilia, Castro Alex, Castillos Ivan, Corredoira Yamile, Soto Néstor
Departamento de Medicina, Campus Centro Universidad de Chile.
Rev Med Chil. 2010 Jul;138(7):841-6. doi: 10.4067/s0034-98872010000700008.
Neuroendocrine tumors are uncommon, including VIPoma that produces vasoactive intestinal polypeptide. We report a 45-year-old female presenting with a history of diarrhea lasting three months. An abdominal CAT scan showed a solid tumor in the body of the pancreas. A fine needle aspiration biopsy of the tumor was compatible with a neuroendocrine tumor. The patient was subjected to a partial pancreatectomy, excising a 4 cm diameter tumor. The pathological study was compatible with a neuroendocrine carcinoma. There was no regional lymph node involvement. During the postoperative period the results of serum vasoactive intestinal polypeptide were received. These were 815.9 pg/ml before surgery and normalized after the operation.
神经内分泌肿瘤并不常见,包括能产生血管活性肠肽的血管活性肠肽瘤。我们报告一例45岁女性,有持续三个月的腹泻病史。腹部计算机断层扫描显示胰腺体部有一个实性肿瘤。对该肿瘤进行细针穿刺活检,结果与神经内分泌肿瘤相符。患者接受了胰腺部分切除术,切除了一个直径4厘米的肿瘤。病理研究结果与神经内分泌癌相符。无区域淋巴结受累。术后收到血清血管活性肠肽的检测结果。术前为815.9皮克/毫升,术后恢复正常。