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Case Report
Opportune identification and surgical management of nonfunctional pancreatic neuroendocrine tumor: A case report
1 General Laparoscopic Specialist Surgeon, Hospital General Docente de Calderón, Quito, Ecuador
2 Postgraduate Medical Doctor, PGY4, UCE General Surgery, Hospital General Docente de Calderón, Quito, Ecuador
Address correspondence to:
Michelle Vanessa Peñaherrera Pazmiño
Valle de los Chillos, San Rafael, Mariana de Jesus 251, “Roble Antiguo” residency, House #16, Post code: 171101, Quito, Pichincha,
Ecuador
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Article ID: 100089Z12MR2021
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How to cite this article
Reyes MC, Peñaherrera Pazmiño MV, Rojas RA, Gualacata EV, Andrade A, López DM. Opportune identification and surgical management of nonfunctional pancreatic neuroendocrine tumor: A case report. J Case Rep Images Surg 2021;7:100089Z12MR2021.ABSTRACT
Introduction: Pancreatic neuroendocrine tumors are a heterogeneous group of epithelial neoplasms with variable clinical presentation and malignant potential. Nonfunctional tumors do not secrete hormones; therefore, they have a late presentation with symptoms that reflect local compression or metastasis. Besides, they could show an aggressive behavior with poor prognosis as proliferation outside pancreas. Hence, making a decision between surgical management and observational behavior has to be personalized for each patient.
Case Report: A 38-year-old female patient case is reported. She had a nonfunctional neuroendocrine tumor of 5 mm length. The patient was subjected to a laparoscopic distal pancreatectomy, and due to the findings during the procedure, it was decided to perform splenectomy.
Conclusion: According to literature, this type of tumors has low-frequency presentation. Furthermore, it is confirmed that an opportune management has been performed by following the international guideline recommendations.
Keywords: Distal pancreatectomy, Nonfunctional pancreatic neuroendocrine tumors, Pancreatic neuroendocrine tumors
SUPPORTING INFORMATION
Author Contributions
María C Reyes - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Michelle Vanessa Peñaherrera Pazmiño - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Ruth A Rojas - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Edwin V Gualacata - Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Andrés Andrade - Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Diego M López - Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
AcknowledgmentsSpecial thanks to Hospital General Docente de Calderón, where the patient was received, diagnosed, undergone surgical treatment, and followed up of her pathology.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 María C Reyes et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
