Fernandes Guilherme Endrigo, Arcanjo Tatiana Larissa Medeiros, Mendonça Nubia, Barreto Jose Henrique Silva
Universidade Federal da Bahia, Salvador, Bahia, Brasil.
Acta Gastroenterol Latinoam. 2012 Jun;42(2):127-30.
The authors present the clinical, laboratory and radiological findings suggestive ofgastrinoma in a patient 1 year and 9 months old. Laboratory tests obtained after fasting revealed elevated serum gastrin, supporting the suspected diagnosis of gastrinoma. In the endoscopy an elevated lesion with central depression was observed. The immunohistochemical examination revealed the benign nature of the tumor and the hyperplasia of argentaffin cells. Gastrinoma is a rare disease that predominantly affects young adults, but it must be considered in the pediatric group when clinical and laboratorial features of this disease are observed.
作者报告了一名1岁9个月大患者提示胃泌素瘤的临床、实验室及影像学检查结果。空腹后进行的实验室检查显示血清胃泌素升高，支持胃泌素瘤的疑似诊断。在内镜检查中观察到一个中央凹陷的隆起性病变。免疫组化检查显示肿瘤为良性且嗜银细胞增生。胃泌素瘤是一种罕见疾病，主要影响年轻成年人，但当观察到该疾病的临床和实验室特征时，儿科群体中也必须考虑此病。
