French Joshua B, Pawa Rishi
Department of Medicine, Division of Gastroenterology, Wake Forest Baptist Hospital, Winston-Salem, NC.
ACG Case Rep J. 2016 Jan 20;3(2):109-11. doi: 10.14309/crj.2016.16. eCollection 2016 Jan.
Somatostatinoma of the gastrointestinal tract is a rare finding, especially arising from the ampulla of Vater. We present a man recently diagnosed with rectal adenocarcinoma who was found on imaging to have an ampullary mass. Histology and immunohistochemical staining of the biopsied tissue were consistent with a nonfunctioning somatostatinoma. The patient had neurofibromatosis, which have been reported in patients with ampullary somatostatinomas. Our case highlights the importance of gastrointestinal findings in those with underlying genetic conditions.
胃肠道生长抑素瘤是一种罕见的疾病，尤其是起源于 Vater 壶腹的情况。我们报告了一名近期被诊断为直肠腺癌的男性患者，影像学检查发现其有壶腹肿物。活检组织的组织学和免疫组化染色结果与无功能生长抑素瘤相符。该患者患有神经纤维瘤病，此前曾有壶腹生长抑素瘤患者被报道患有此病。我们的病例强调了在有潜在遗传疾病的患者中进行胃肠道检查的重要性。
