PMID- 20514321 OWN - NLM STAT- MEDLINE DCOM- 20100908 LR - 20211020 IS - 1598-6357 (Electronic) IS - 1011-8934 (Print) IS - 1011-8934 (Linking) VI - 25 IP - 6 DP - 2010 Jun TI - A case of multiple endocrine neoplasia type 1 with primary liver gastrinoma. PG - 953-6 LID - 10.3346/jkms.2010.25.6.953 [doi] AB - Gastrinoma is the most frequent functional pancreaticoduodenal endocrine tumor in patients with multiple endocrine neoplasia type 1 (MEN 1). Primary hepatic gastrinomas in MEN 1 are very rare, with no previous reports published in the literature. We reported the case of a 39 yr old female patient with a history of repeated peptic ulcers and a hypoglycemia episode. Abdominal CT indicated a well-defined liver mass and a pancreatic head mass. Somatostatin-receptor scintigraphy with [(111)In] DTPA octreotide demonstrated a strong uptake of the radiotracer in the left lateral segment at the site of the hepatic mass. After operation, immunohistochemical staining was consistent with pancreatic insulinoma and primary hepatic gastrinoma. As the liver is a common site of metastases from gastrinoma, primary liver gastrinoma has not yet been reported with MEN 1. We diagnosed this patient using immunohistochemical studies and treated this patient by hepatic segmentectomy. FAU - Lee, Sul Ra AU - Lee SR AD - Department of Endocrinology and Metabolism, Kyung Hee University School of Medicine, Seoul, Korea. FAU - Choi, Moon Chan AU - Choi MC FAU - Ahn, Kyu Jeung AU - Ahn KJ LA - eng PT - Case Reports PT - Journal Article DEP - 20100525 PL - Korea (South) TA - J Korean Med Sci JT - Journal of Korean medical science JID - 8703518 SB - IM MH - Adult MH - Female MH - Gastrinoma/complications/*diagnosis/pathology MH - Humans MH - Hypoglycemia/etiology MH - Insulinoma/complications/diagnosis/pathology MH - Liver Neoplasms/complications/*diagnosis/pathology MH - Mastectomy, Segmental MH - Multiple Endocrine Neoplasia Type 1/complications/*diagnosis MH - Pancreatic Neoplasms/complications/diagnosis/pathology MH - Peptic Ulcer/etiology MH - Tomography, X-Ray Computed PMC - PMC2877224 OTO - NOTNLM OT - Gastrinoma OT - Insulinoma OT - Multiple Endocrine Neoplasia Type 1 EDAT- 2010/06/02 06:00 MHDA- 2010/09/09 06:00 PMCR- 2010/06/01 CRDT- 2010/06/02 06:00 PHST- 2008/12/22 00:00 [received] PHST- 2009/03/17 00:00 [accepted] PHST- 2010/06/02 06:00 [entrez] PHST- 2010/06/02 06:00 [pubmed] PHST- 2010/09/09 06:00 [medline] PHST- 2010/06/01 00:00 [pmc-release] AID - 10.3346/jkms.2010.25.6.953 [doi] PST - ppublish SO - J Korean Med Sci. 2010 Jun;25(6):953-6. doi: 10.3346/jkms.2010.25.6.953. Epub 2010 May 25.