Panc Tumors

Question 0

Panc mass, diabetes, gallstones, steatorrhea

Answer 0

Somatostatinoma

Worst prognosis of endocrine tumor

Question 1

Mass in tail if panc c diarrhea (not better c ppi), hypokalemia

Answer 1

VIPoma

Gastrinoma diarrhea will get better c ppi

Most are in distal panc

Question 2

Panc pass, diabetes, migrating skin lesions c central clearing

Answer 2

Glucagonoma

Question 3

Should you resect panc c liver mets if functional tumor?

Non-functional?

Answer 3

Yes! Even if only debulking

Only if you can resect liver mets.

Question 4

Mc panc tumor, most are benign, hypoglycemia that is symptomatic and glucose responsive

Answer 4

Insulinoma

Will have high c peptide

If small, enucleate. If >2cm will need resection

Question 5

Gastronomy triangle

Answer 5

1. Cbd
2. Neck of panc
3. 3rd portion of duodenum