Willemer S, Göke B, Swarovsky B, Bloch R, Arnold R
Z Gastroenterol. 1987 May;25(5):279-86.
The case of a 32-year old man with exocrine pancreatic insufficiency and progressive weight loss is reported. Ultrasound examination of the abdomen revealed a huge tumor of the pancreatic head. Smears obtained by a percutaneous fine-needle biopsy showed characteristics of a neuroendocrine tumor. Serum hormone levels and immunocytochemistry presented no evidence for a hormonal activity of the tumor. The exocrine pancreatic insufficiency was explained by an obstruction of the pancreatic duct system. In the present case report the problems of diagnostic approaches to endocrine pancreatic tumors are discussed.
报告了一例32岁男性，患有外分泌性胰腺功能不全并进行性体重减轻。腹部超声检查发现胰头有一个巨大肿瘤。经皮细针穿刺活检获得的涂片显示为神经内分泌肿瘤的特征。血清激素水平和免疫细胞化学检查未发现肿瘤有激素活性的证据。外分泌性胰腺功能不全是由胰管系统梗阻所致。在本病例报告中，讨论了胰腺内分泌肿瘤诊断方法的问题。
