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      Hypercalcitoninemia in a Sporadic Asymptomatic Neuroendocrine Tumor of the Pancreatic Tail

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          Abstract

          Background/Aim: Asymptomatic neuroendocrine tumors of the gastroenteropancreatic tract represent a significant challenge in terms of postoperative monitoring. Methods: A case report of a calcitonin-secreting asymptomatic neuroendocrine tumor of the pancreatic tail is presented. Results: Hypercalcitoninemia was noted in the 76-year-old Caucasian man who had a recurrent neuroendocrine tumor of the pancreatic tail. Upon pentagastrin stimulation, basal calcitonin increased only moderately from 82.3 (<10) to 100.9 and 125 pg/ml after 2 and 5 min, respectively. Surgical removal of the neuroendocrine tumor resulted in postoperative normalization of both basal and stimulated serum calcitonin levels. On immunohistochemistry, the neuroendocrine tumor was positive for calcitonin. Conclusion: Routine measurements of serum calcitonin might be a highly sensitive adjunct capable of identifying a subset of neuroendocrine tumors in which calcitonin monitoring may aid in the early detection of postoperative recurrence.

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          Author and article information

          Journal
          DSU
          Dig Surg
          10.1159/issn.0253-4886
          Digestive Surgery
          S. Karger AG
          0253-4886
          1421-9883
          2000
          2000
          11 December 2000
          : 17
          : 5
          : 522-524
          Affiliations
          Departments of aGeneral Surgery, bInternal Medicine, Division of Endocrinology, and cPathology, Martin Luther University Halle-Wittenberg, Halle/Saale, Germany
          Article
          51953 Dig Surg 2000;17:522–524
          10.1159/000051953
          11124561
          104460ec-96ac-42d1-8988-f8a7fbebc688
          © 2000 S. Karger AG, Basel

          Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

          History
          Page count
          Figures: 1, References: 5, Pages: 3
          Categories
          Case Reports

          Oncology & Radiotherapy,Gastroenterology & Hepatology,Surgery,Nutrition & Dietetics,Internal medicine
          Neuroendocrine tumor, nonfunctioning,Hypercalcitoninemia,Pentagastrin stimulation

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