Islet-cell tumour or the pancreas
60-year old female patient with intermittent complaints of pain in epigastric region after meals
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Islet-cell tumour or neuro-endocrine tumour of the pancreas.
The typical appearance of these tumours is well demonstrated in the venous phase. This hypervascular lesion demonstrates late retention of contrast and typically has a soft texture, therefore not causing pancreatic duct obstruction or dilatation.
Pancreatic islet-cell tumours account for about 1-5% of all pancreatic neoplasms. They represent an important subset of neoplasms due to their substantially improved prognosis compared to pancreatic adenocarcinma.
PET-CT was negative in this patient.
EUS demonstrated a well-circumscribed pancreatic tumour of 11 x 14 mm, FNA cytology was performed and confirmed the diagnosis.