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Limited tumor invol...
Limited tumor involvement found at multiple endocrine neoplasia type I pancreatic exploration : can it be predicted by preoperative tumor localization?
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- Skogseid, Britt (author)
- Uppsala universitet,Institutionen för medicinska vetenskaper,Section of Endocrine Oncology
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- Öberg, Kjell (author)
- Uppsala universitet,Institutionen för medicinska vetenskaper,Section of Endocrine Oncology
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- Åkerström, Göran (author)
- Uppsala universitet,Institutionen för kirurgiska vetenskaper,Endocrine Surgery
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- Eriksson, Barbro (author)
- Uppsala universitet,Institutionen för medicinska vetenskaper,Section of Endocrine Oncology
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- Westlin, Jan-Erik (author)
- Uppsala universitet,Institutionen för onkologi, radiologi och klinisk immunologi
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- Tiensuu Janson, Eva (author)
- Uppsala universitet,Institutionen för medicinska vetenskaper,Section of Endocrine Oncology
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- Eklöf, Hampus (author)
- Uppsala universitet,Institutionen för onkologi, radiologi och klinisk immunologi,Örjan Smedby
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- Elvin, Anders (author)
- Uppsala universitet,Institutionen för onkologi, radiologi och klinisk immunologi,RAD
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- Juhlin, Claes (author)
- Uppsala universitet,Institutionen för kirurgiska vetenskaper,Endocrine Surgery
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- Rastad, Jonas (author)
- Uppsala universitet,Institutionen för kirurgiska vetenskaper,Endocrine Surgery
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(creator_code:org_t)
- Springer Science and Business Media LLC, 1998
- 1998
- English.
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In: World Journal of Surgery. - : Springer Science and Business Media LLC. - 0364-2313 .- 1432-2323. ; 22:7, s. 673-677; discussion 667-668
- Related links:
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http://www.ncbi.nlm....
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Subject headings
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- Radiologically demonstrable pancreatic endocrine tumors are a frequent requirement for exploration in patients with multiple endocrine neoplasia type I (MEN-I). Such delayed intervention is accompanied by a 30% to 50% incidence of pancreatic endocrine metastases. This study explores biochemical tumor markers and operative findings in relation to preoperative pancreatic radiology in 25 MEN-I patients. They underwent pancreatic surgery with (n = 19) or without (n = 6) radiologic signs of primary tumor and absence of metastases upon conventional examination, including OctreoScan testing (n = 10). Biochemical diagnosis required an increasing elevation of at least two independent pancreatic tumor markers. Tumor diameters averaged 1.1 cm (0-5 cm) and 0.9 cm (0.2-1.5 cm) in the patients with and without positive preoperative radiology, respectively. These investigations never displayed more than one of the consistently multiple tumors, and the results were falsely positive in 26%. Preoperatively unidentified regional or hepatic metastases were found at surgical exploration in 26% of patients with radiologic localization and in none of the others. Limited pancreatic tumor involvement necessitated intraoperative absence of metastases and pancreatic lesions /= 7 mm in diameter. Conventional pancreatic imaging is insensitive and nonspecific for recognizing even substantial pancreatic tumors associated with MEN-I.
Keyword
- Adult
- Aged
- Female
- Humans
- Male
- Middle Aged
- Multiple Endocrine Neoplasia Type 1/*diagnosis/radiography
- Pancreatic Neoplasms/*diagnosis/radiography/surgery
- Sensitivity and Specificity
- Tumor Markers; Biological/analysis
- MEDICINE
- MEDICIN
Publication and Content Type
- ref (subject category)
- art (subject category)
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To the university's database
- By the author/editor
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Skogseid, Britt
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Öberg, Kjell
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Åkerström, Göran
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Eriksson, Barbro
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Westlin, Jan-Eri ...
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Tiensuu Janson, ...
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show more...
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Eklöf, Hampus
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Elvin, Anders
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Juhlin, Claes
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Rastad, Jonas
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show less...
- Articles in the publication
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World Journal of ...
- By the university
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Uppsala University