Pathology and Genetics

Jun 14, 2017 by in GENERAL SURGERY Comments Off on Pathology and Genetics

Well-differentiated neuroendocrine neoplasm (NEN) NEN G1 NEN G2 Poorly differentiated neuroendocrine carcinoma (NEC) Large-cell NEC Small-cell NEC 8.3 Pathology Macroscopically, PanNENs are usually solitary, solid masses, from 1 to 5…

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Mucinous Cystic Neoplasms

Jun 14, 2017 by in GENERAL SURGERY Comments Off on Mucinous Cystic Neoplasms

Fig. 3.1 Mucinous cystedenoma ultrasound. The sonographic scan shows a hypoechoic lesion in the head of the pancreas. The lesions has a macrocystic pattern, as indicated by the large anechoic…

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Serous Cystic Neoplasms

Jun 14, 2017 by in GENERAL SURGERY Comments Off on Serous Cystic Neoplasms

Fig. 2.1 Serous cystadenoma: ultrasound (US). Sonographic scans show a hypoechoic lesion with sharp margins in the head of the pancreas (black arrow). Within the lesion, anechoic areas can be…

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Surgical Therapy

Jun 14, 2017 by in GENERAL SURGERY Comments Off on Surgical Therapy

2. Kulke MH, Anthony LB, Bushnell DL et al (2010) NANETS treatment guidelines: well-differentiated neuroendocrine tumors of the stomach and pancreas. Pancreas 39:735–752PubMedCrossRef 3. Falconi M, Bartsch DK, Eriksson B…

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Epidemiology and Clinical Presentation

Jun 14, 2017 by in GENERAL SURGERY Comments Off on Epidemiology and Clinical Presentation

Type of PanNEN Peptide Site Malignancy (%) MEN1-associated (%) Clinical manifestation Insulinoma Insulin Pancreas 10 10 Hypoglycemia Gastrinoma Gastrin Pancreas, Duodenum 80 25 ZES (peptic ulcer, diarrhea, epigastric pain) VIPoma…

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Classification

Jun 14, 2017 by in GENERAL SURGERY Comments Off on Classification

Benign Acinar cell cystadenoma Serous cystadenoma Premalignant lesions Intraductal papillary mucinous neoplasms with low- or intermediate-grade dysplasia Intraductal papillary mucinous neoplasms with high-grade dysplasia Intraductal tubulopapillary neoplasms Mucinous cystic neoplasms…

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