Journal of Cytology
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CASE REPORT
Year : 2009  |  Volume : 26  |  Issue : 4  |  Page : 153-155

FNAC diagnosis of pancreatic somatostatinoma


Department of Pathology, SDMCMSH, Dharwad, Karnataka, India

Correspondence Address:
Suneet K Pervatikar
631, Manya Towers, SDM Medical College Campus, Sattur, Dharwad
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-9371.62187

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Somatostatinomas are rare pancreatic endocrine neoplasms (PEN). We present a case of a PEN in a 63-year-old lady having diabetes mellitus, cholelithiasis, steatorrhea, weight loss, indigestion, nausea and fatigue. Ultrasonography revealed a large calcified mass occupying the liver, pancreas and emboli in the splenic vein. Fine needle aspiration cytology (FNAC) of the metastatic mass in the liver showed features of neuroendocrine tumor. Correlating the clinical picture, computed tomography and cytological findings, a diagnosis of pancreatic somatostatinoma was suggested. Serum somatostatin levels and biopsy findings confirmed the same. The patient was put on chemotherapeutic agents and octreotide and is doing well after two years of follow-up. We discuss the FNAC findings of pancreatic endocrine tumors and its differentiating features from hepatoma and other small round cell tumors.


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