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Nonfunctioning islet cell carcinoma of the pancreas: An evaluation of seven patients who underwent resection followed by long-term survival

Authors
  • Eriguchi, Naofumi1
  • Aoyagi, Shigeaki1
  • Hara, Masao1
  • Fukuda, Shuichi1
  • Tanaka, Eiji1
  • Hashimoto, Mitsuo1
  • 1 Kurume University School of Medicine, Department of Surgery, 67 Asahi-machi, Kurume-shi, Fukuoka, 830-0011, Japan , Kurume-shi, Fukuoka
Type
Published Article
Journal
Surgery Today
Publisher
Springer-Verlag
Publication Date
Mar 01, 1999
Volume
29
Issue
3
Pages
233–237
Identifiers
DOI: 10.1007/BF02483012
Source
Springer Nature
Keywords
License
Yellow

Abstract

Islet cell carcinoma of the pancreas is a rare, indolent malignancy associated with a higher resectability rate and better survival than ductal carcinoma. This retrospective study presents the results of surgical treatment for nonfunctioning islet cell carcinoma of the pancreas in seven patients diagnosed and treated at Kurume University Hospital. There were two men and five women, with an average age of 54 years. Of the five tumors, four were located in the head of the pancreas, and the other three tumors were located in the body or tail of the pancreas. Epigastric pain was frequently the primary clinical symptom. By the time of diagnosis, four of the patients had regional disease, one of whom had lymph node and liver metastases, and one, liver metastases. Another patients was found to have lymph node metastases intraoperatively. Only one of the patients died of recurrent cancer, 21 years after the original operation. All of the patients who had liver metastases at the time of initial surgical treatment are now living at home. Thus, we conclude that nonfunctioning islet cell carcinomas are slow-growing tumors with a good prognosis if the main tumors and metastatic lesions are removed.

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