Pancreatic neuroendocrine tumor: A rare case report: Pancreatic neuroendocrine tumor

Shikha Goel; Deepti Agarwal; Swaran Kaur; Pushpender Malik

Authors

Shikha Goel PG Student, Dept. of Pathology, Government Medical College for Women, Khanpur Kalan, Sonepat, Haryana, India
Deepti Agarwal Associate Professor, Dept. of Pathology, Government Medical College for Women, Khanpur Kalan, Sonepat, Haryana, India
Swaran Kaur Professor and Head, Dept. of Pathology, Government Medical College for Women, Khanpur Kalan, Sonepat, Haryana, India
Pushpender Malik Associate Professor, Dept. of BPS, Government Medical College for Women, Khanpur Kalan, Sonepat, Haryana, India

Keywords:

Neuroendocrine tumor, Pancreatic tumors, Pancreatoduodenectomy, Common Bile Duct.

Abstract

Pancreatic neuroendocrine tumors (NETs) are a heterogeneous group of tumors that arise in the endocrine cells of the pancreas.
Despite being relatively rare, representing just 1â€“2% of all pancreatic neoplasms, the incidence of pancreatic NET has increased
over the past two decades.We report a case of 44-year-old female patient presenting with history of long standing pain radiating
to back, weight loss, decrease in appetite, nausea and vomiting along with jaundice. CECT Upper Abdomen showed soft tissue
density mass at the lower end of Common Bile Duct with infiltration of 2nd part of duodenum causing biliary obstruction.The
diagnosis is distal CBD cholangiocarcinoma. MRCP gave impression of periampullary soft tissue mass obstructing the terminal
CBDwith associated up stream dilatation of biliary tree with cholelithiasis.Patient underwent Whippleâ€™s procedure
(Pancreaticoduodenumectomy) on exploratory laprotomy. Grossly a growth measuring 3.5x2 cm seen in pancreas abutting CBD
was seen. Onmicroscopic examination, diagnosis of Pancreatic neuroendocrine tumor was made which wasinvolving the
duodenal wall and CBD.

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Pancreatic neuroendocrine tumor: A rare case report