Sedhai Swastika, Mohammed Fathia, Sahtiya Saveeta, Sanaullah Sadaf, Pritwani Payal, Saleem Faraz, Abere Ayodeji, Ghaffari Muhammad Abu Zar
Medicine, Kathmandu University, Kathmandu, NPL.
Internal Medicine, University of Gezira, Madani, SDN.
Cureus. 2022 Sep 26;14(9):e29617. doi: 10.7759/cureus.29617. eCollection 2022 Sep.
Pancreatic neuroendocrine tumors (PNETs) account for a very small proportion of all pancreatic tumors. The presence or absence of a specific clinical manifestation associated with hormone oversecretion determines whether a PNET is functional or nonfunctional. Imaging expressions differ significantly, from the common to the extremely rare. Diffuse, uniform pancreatic enlargement, without abnormalities in contour or a central mass, is the most common radiological finding. We report the case of a 43-year-old male who presented with abdominal pain and early satiety over the course of two months and was found to have a non-functioning pancreatic neuroendocrine tumor, with the pseudocyst being the initial diagnostic finding. In comparison to patients with exocrine pancreatic cancer, those with PNET have a much better prognosis and longer expected survival time. This case report highlights the importance of the diagnostic evaluation of PNET and timely intervention to prolong the survival of the patient.
胰腺神经内分泌肿瘤（PNETs）在所有胰腺肿瘤中所占比例极小。与激素分泌过多相关的特定临床表现的有无决定了PNET是功能性还是非功能性的。影像学表现差异很大，从常见到极为罕见。弥漫性、均匀性胰腺肿大，轮廓无异常或无中心肿块，是最常见的影像学表现。我们报告一例43岁男性患者，在两个月的病程中出现腹痛和早饱，被发现患有非功能性胰腺神经内分泌肿瘤，最初的诊断发现是假性囊肿。与胰腺外分泌癌患者相比，PNET患者的预后要好得多，预期生存时间更长。本病例报告强调了PNET诊断评估及及时干预以延长患者生存期的重要性。
