Islet-cell tumour or the pancreas

Case contributed by Dr Erik Ranschaert

Presentation

60-year old female patient with intermittent complaints of pain in epigastric region after meals

Modality: CT

Case Discussion

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.

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Case Information

rID: 12591
Case created: 19th Dec 2010
Last edited: 6th Oct 2015
Inclusion in quiz mode: Included

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