The patient underwent EUS and biopsy followed by Whipple's procedure.
Histopathology:
Pancreatoduodenectomy specimen:
- Grade 1 pancreatic neuroendocrine tumor
- 24 mm in maximum dimension
- Present at the vascular groove margin
- Clear of all other margins
- Perineural invasion identified.
- No lymphovascular invasion
- 14 lymph nodes isolated, none of which contain metastatic carcinoma (0/14)
Besides pain, the patient was asymptomatic and it was considered non-functional.