38 - Endocrine pancreas Flashcards
PNET= __
pancreas neuroendocrine tumors
PNET are uncommon and usually __. It is considered malignant only in the presence of a __.
indolent
metastasis
Non functional PNET- late __ . Usually discover when the following symptoms appear: 4
diagnosis mass effect pain jaundice biliary obstruction
Functional PNET- early __. Types include: 4
VIPoma
somatostatinoma
gastrinoma
insulinoma
Diagnosis include:
1) screening for __ syndromes
2) elevated __ levels
3) CT/MRI
4) __ + __
5) __- 80% sensitivity
endocrine
chromogranin
FNA/EUS
octreoscan
Treatment include partial __ + local LN __.
pancreatectomy
excision
Insulinoma is caused by a small __ secreting mass in the pancreases. 10%- __, 5%- related to __. The mass is usually __, __ and can appear anywhere in the pancreas.
insulin malignant MEN1 small benign
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