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| Malignant nonfunctioning islet cell tumor of the pancreas with intrasplenic growth: a case report |
| Hong-Jiang Wang, Zuo-Wei Zhao, Hai-Feng Luo and Zhong-Yu Wang |
Dalian, China
Author Affiliations: Department of General Surgery, First Affiliated Hospital of Dalian Medical University, Dalian 116011, China (Wang HJ, Zhao ZW, Luo HF and Wang ZY)
Corresponding Author: Hong-Jiang Wang, MD, PhD, Department of General Surgery, First Affiliated Hospital of Dalian Medical University, Dalian 116011, China (Tel: 86-411-83635963ext2086; Email: wanghj@mail.dlptt.ln.cn) |
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Abstract BACKGROUND: We reported a case of malignant nonfunction islet cell tumor (10.0 cm in diameter) of the pancreas, with malignant histological features and splenic infiltration. The case is rare, and few reports have been published.
METHODS: A 46-year-old woman with a vague pain in the left upper quadrant for 3 months was found to have a tumor in the spleen. Ultrasonography and computed tomography demonstrated a well-defined pancreatic tumor of 8.2×10.0 cm in size, her serum levels of pancreatic hormones were within normal limits.
RESULTS: Splenectomy combined with pancreatectomy was performed for the tail of the pancreas. Resected specimens showed a malignant nonfunctioning islet cell tumor invading the spleen.
CONCLUSIONS: The growth pattern of the tumor causes malignant features. Resection of the tumor should be performed by enucleation, pancreaticoduodenectomy or distal pancreatectomy.
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2006, Vol. 5 
