Acta Scientific Gastrointestinal Disorders (ASGIS)(ISSN: 2582-1091)

Case Report Volume 3 Issue 11

Spleen Preserving Total Pancreatectomy in a Case of Multiple Pancreatic Neuroendocrine Tumour

Urmila Basu1, Renu Saini1, Devmalya Banerjee2, Gaurav Kumar3 and Shubhayu Banerjee4*

1DNB Resident, Department of General Surgery, Rabindranath Tagore International Institute of Cardiac Sciences, Kolkata, West Bengal, India
2MD Pathology, Consultant Oncopathologist, Narayana Superspeciality Hospital, Kolkata, West Bengal, India
3DNB General Surgery, Consultant General Surgeon, Narayana Superspeciality Hospital, Kolkata, West Bengal, India
4Consultant Laparoscopic and Gastrointestinal Surgeon, Narayana Superspeciality Hospital, Kolkata, West Bengal, India

*Corresponding Author: Shubhayu Banerjee, Consultant Laparoscopic and Gastrointestinal Surgeon, Narayana Superspeciality Hospital, Kolkata, West Bengal, India.

Received: July 24, 2020; Published: October 29, 2020

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Abstract

  One of the most common sites of gastrointestinal neuroendocrine tumour is the pancreas. They are known as Pancreatic neuroendocrine tumour (PNET). The previous incidence rate of 0.43/100,000 has more than doubled in last few decades. Most of the PNETs are clinically silent and show slight male preponderance. 10% of PNETs are functional, associated with genetic syndromes and represent as cystic lesion on radiology. Proper pre-operative work up including endocrine testing, tumour marker study and imaging is necessary to establish the diagnosis. Since they have malignant potential, surgery is the treatment of choice for resectable tumours among the various treatment modalities available. We are presenting a case of 50 years old lady having multiple soft tissue lesions involving distal CBD, head, body and tail of pancreas. She underwent spleen preserving total pancreatectomy with Roux-en-Y hepaticojejunostomy and gastrojejunostomy. Post-operative recovery was uneventful and glycaemic control was achieved with pharmacotherapy. We will discuss the various aspects of PNETs in this report.

Keywords: Pancreatic Neuroendocrine Tumour; Pancreas; Spleen Preserving; Total Pancreatectomy

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Citation

Citation: Shubhayu Banerjee., et al. “Spleen Preserving Total Pancreatectomy in a Case of Multiple Pancreatic Neuroendocrine Tumour". Acta Scientific Gastrointestinal Disorders 3.11 (2020): 48-55.




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