Internal medicine (Tokyo, Japan) · 2004
Large duodenal somatostatinoma in the third portion associated with severe glucose intolerance.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Kimura Ryosuke, Hayashi Yoshinari, Takeuchi Toyo, Shimizu Manabu, Hiratsuka Maki, Yoshida Michihiro, Hamajima Eiji, Iwata Masaru, Imoto Masami, Hattori Hideo
Аннотация
A 51-year-old man was admitted with hyperglycemia and a duodenal tumor. Although his glycemic control was poor, basal C-peptide levels were not suppressed. Further examination revealed a mass measuring 7.8 cm in diameter in the third portion of the duodenum. Duodenectomy revealed a slow-growing sessile tumor located near Treitz's ligament. The immunohistochemical profile of sections of the specimen revealed the presence of somatostatin. The patient's serum somatostatin was elevated to 300 pg/ml preoperatively, but was reduced to 10 pg/ml postoperatively. Glycemic control also normalized after the operation.