Non-syndromic pancreatic endocrine tumor

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Abdominal pain.

Patient Data

Age: 45 years
Gender: Male

Parenchymal atrophy with dilatation of pancreatic duct was seen in neck, body and tail of pancreas. A well defined enhancing mass is noted at pancreatic head and uncinate process measuring 50 × 30 × 48 mm.

A 9 × 8 mm lymph node was present adjacent to common hepatic artery.
Several enlarged lymph nodes are also seen in ileocecal region. 

Post surgical control CT scan after 1 year

CT

Post-operative changes from Whipple procedure: partial pancreatico-duodenectomy, pancraticojejunostomy, hepaticojejunostomy, cholecystectomy and gastrojejunostomy. There is no sign of local tumoral recurrence at surgical site.

Several enlarged mesenteric lymph nodes are seen with maximum SAD of 8 mm. 

Case Discussion

Pathology proven pancreatic endocrine tumor (non-syndromic).

On imaging studies, overall endocrine tumors of the pancreas tend to be highly vascular and well-circumscribed, often displacing adjacent structures. They can demonstrate calcific or cystic change.

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