Pancreatic neuroendocrine tumor

Case contributed by Mohammadtaghi Niknejad

Presentation

Abdominal pain and vomiting.

Patient Data

Age: 60 years
Gender: Female

There is a small mass at the anterior aspect of the pancreas head. It is high signal on T2W and low signal on T1W images. After contrast injection, it shows heterogeneous enhancement. No signs of local invasion and no vascular extension.

A small hyper enhancing mass is noted at the anterior aspect of the pancreas head and neck. The pancreatic duct is not dilated. There is no sign of vascular invasion.

pathology

The patient underwent pancreatic head mass excision, and histopathology evaluation confirms pancreatic neuroendocrine tumor.

Case Discussion

Neuroendocrine tumors of the pancreas arise from the pancreatic islet cells and include some distinct tumors that match the cell type of origin. Most tumors are isolated. Approximately 1-2% are associated with multiple endocrine neoplasia type I (MEN I).

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