PMID- 14598155
OWN - NLM
STAT- MEDLINE
DCOM- 20040312
LR  - 20041117
IS  - 0944-1166 (Print)
IS  - 0944-1166 (Linking)
VI  - 10
IP  - 4
DP  - 2003
TI  - Surgical approach to tumor recurrence and metastatic lesions of the liver in a 
      patient with malignant endocrine tumors of the pancreas: case report.
PG  - 325-8
AB  - We describe herein a 72-year-old woman with tumor recurrence in the residual 
      pancreas and metastasis to the liver following a pylorus-preserving 
      pancreatoduodenectomy for multiple endocrine tumors in the head of the pancreas. 
      Abdominal ultrasonography performed 7 years after the initial surgery detected 
      new lesions in the residual pancreas and liver. After recurrence of endocrine 
      tumors of the pancreas and metastasis to the liver were diagnosed, the lesions 
      were successfully resected by total pancreatectomy with distal gastrectomy and 
      both lateral segmentectomy and partial resection of segment 8. Genetic analysis 
      using a blood specimen showed that this patient carried the multiple endocrine 
      neoplasia type 1 (MEN1) gene mutation. One year after the second resection, the 
      patient remains in good health using insulin and has not shown any sign of 
      recurrence. This case report describes successful surgical resection for 
      recurrence and metastasis of malignant endocrine tumors in a patient with the 
      MEN1 gene mutation.
FAU - Inagaki, Mitsuhiro
AU  - Inagaki M
AD  - Department of Surgery, JA Hokkaido Kouseiren Asahikawa Kousei Hospital, 1-24, 
      Asahikawa 078-8211, Japan.
FAU - Aoyagi, Takeshi
AU  - Aoyagi T
FAU - Nomura, Atsushi
AU  - Nomura A
FAU - Yokoo, Hideki
AU  - Yokoo H
FAU - Akabane, Mitsuhiro
AU  - Akabane M
FAU - Kawata, Akira
AU  - Kawata A
FAU - Nakano, Shirou
AU  - Nakano S
FAU - Chiba, Atsushi
AU  - Chiba A
FAU - Fujii, Tsuneshi
AU  - Fujii T
FAU - Sakurai, Hiroharu
AU  - Sakurai H
FAU - Tsukada, Toshihiko
AU  - Tsukada T
FAU - Takahashi, Masahiro
AU  - Takahashi M
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - Japan
TA  - J Hepatobiliary Pancreat Surg
JT  - Journal of hepato-biliary-pancreatic surgery
JID - 9431940
SB  - IM
MH  - Aged
MH  - Digestive System Surgical Procedures/*methods
MH  - Female
MH  - Humans
MH  - Liver Neoplasms/genetics/physiopathology/secondary/*surgery
MH  - Multiple Endocrine Neoplasia Type 1/*genetics/physiopathology
MH  - Neoplasm Recurrence, Local/diagnosis/*surgery
MH  - Pancreatic Neoplasms/genetics/pathology/physiopathology/*surgery
MH  - Pancreaticoduodenectomy
EDAT- 2003/11/05 05:00
MHDA- 2004/03/16 05:00
CRDT- 2003/11/05 05:00
PHST- 2002/07/01 00:00 [received]
PHST- 2002/12/10 00:00 [accepted]
PHST- 2003/11/05 05:00 [pubmed]
PHST- 2004/03/16 05:00 [medline]
PHST- 2003/11/05 05:00 [entrez]
AID - 10.1007/s00534-002-0861-0 [doi]
PST - ppublish
SO  - J Hepatobiliary Pancreat Surg. 2003;10(4):325-8. doi: 10.1007/s00534-002-0861-0.