Neuroendocrine tumour of pancreas

Presentation

Abdominal pain

Patient Data

Age: 55 years
Gender: Male
Modality: CT

A well-defined heterogeneous pancreatic body mass with intense peripheral enhancement and central degeneration with clear perilesional fat and no evident of mesenteric vessel encasement.

Mildly enlarged cirrhotic liver with multiple focal lesions seen scattered through the left and right lobes and showing ring enhancement.

Large volume ascites.

 

Case Discussion

No biliary obstruction - this is a classic mode of presentation for pancreatic adenocarcinomas. 

Neuroendocrine tumours can occasionally manifest as primarily cystic lesions and are distinguishable from other cystic neoplasms by their hypervascular rim as in this case.

75% of patients with neuroendocrine tumours have metastatic disease at presentation, most commonly in the liver and less frequently in bone as in our case.

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Case Information

rID: 50875
Case created: 25th Jan 2017
Last edited: 19th Mar 2017
Inclusion in quiz mode: Included

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