A dainty small bowel gastrinoma in a patient with multiple endocrine neoplasia, type 1 (MEN1) resulted in an enormous lymph node metastasis. This phenomenon has probably resulted in at least some reports of primary gastrinoma of lymph node; tiny duodenal gastrinomas can be difficult to detect during surgical exploration and would likely be encompassed in a Whipple resection.
Case provided by Dr. Elizabeth Montgomery, Clinical Professor, Vice Chair of Faculty Development & Mentoring, Director of Surgical Pathology Fellowship Training Program, Co-Director, Pathology Reference Services, and Editor-In-Chief at Innovative Science Press.
You can check out our titles at:
1-703-350-4308/703-340-3198
Yorumlar