Abstract
We often have difficulties in dignosing an abdominal tumor as a non-functioning islet cell tumor preoperatively, because it has no characteristic symptoms. Subsequently, very few cases of the tumor have been reported thus far. A 47-year-old female was admitted to our hospital because of upper abdominal discomfort. Physical examinations revealed a fist-sized and elastic hard tumor in the upper abdomen. Ultrasonography and Computed tomography showed two tumors in the abdomen. One of them was found in the right lobe of liver and the another in the body and the tail of pancreas. Selective angiography revealed hypervascular tumors. No elevated serum levels of various endocrine hormones were noted. Accordingly, those tumors were diagnosed as non-functioning cel tumors preoperatively and the patient underwent resection of the pancreas and right lobectomy of liver. Postoperative histopathological and immunohistological examinations revealed malignancies. A case of malignant non-functioning islet cell tumor with liver metastasis was reported, together with a review of the literature.
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More From: The journal of the Japanese Practical Surgeon Society
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