Metastatic Nonfunctional Pancreatic Neuroendocrine Tumor – Case Report and Review of the Literature

Ludmila Tankova, Vanya Gerova, Plamen Getsov, Radislav Nakov, Stanislav Churchev, Ivan Terziev, Irena Kostadinova, Miroslava Vitkova, Ventsislav Nakov, Damyan Damyanov, Nina Topuzanska
2015 American Journal of Medical Case Reports  
We present a 56-year-old patient with liver metastases from nonfunctional pancreatic neuroendocrine tumor. The disease is found incidentally in a patient with nonspecific symptoms. Conventional abdominal ultrasound establishes several liver lesions mimicking hemangiomas. On contrast enhancement ultrasonography hypervascularized secondary liver lesions are detected. Subsequent imaging methods and biochemical tests diagnose a pancreatic neuroendocrine metastatic tumor. Left-sided pancreatectomy
more » ... ed pancreatectomy with splenectomy is carried out. The patient is in good general condition six months after initiation of combination therapy with everolimus and sandostatin LAR depot. Tc-99m-tektrotyd single photon emission computed tomography-CT hybrid imaging shows reduced accumulation of the radiopharmaceutical in the liver parenchyma without data of pancreatic tumor.
doi:10.12691/ajmcr-3-7-6 fatcat:43uqnxi2t5cxzcxl5p7vnolsme