A 7-year-old child with primary tumour localisation in the distal duodenum - New imaging procedures for an improved diagnosis
A 7-year-old child with primary tumour localisation in the distal duodenum - New imaging procedures for an improved diagnosis
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DOI：
10.1007/s004310050665
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发表时间：
1997-07-01
影响因子：
3.6
通讯作者：
Wiedenmann, B
中科院分区：
文献类型：
--
作者：
Cholewa, D;Waldschmidt, J;Wiedenmann, B
儿童十二指肠胃泌素瘤是非常罕见的，往往错过了第一次医疗咨询。我们报告一个7岁的儿童与散发性胃泌素瘤的主要定位在远端十二指肠。肝和区域淋巴结的小转移瘤在术前通过生长抑素受体显像（SRS）检测到，而不是通过其他传统的成像程序。诊断方法包括术前SRS、内镜超声检查和术中内镜透照。术前肿瘤特异性诊断是可能的（111）铟pentreotide SRS。
Duodenal gastrinomas in childhood are extremely rare and often missed at first medical consultation. We report on a 7-year-old child with sporadic gastrinoma of primary localisation in the distal duodenum. Small metastases in the liver and regional nodes were detected pre-operatively by somatostatin receptor scintigraphy (SRS) but not by other conventional imaging procedures. Diagnostic procedures include preoperative SRS, endoscopic ultrasound and intra-operative endoscopic transillumination.Conclusion Gastrinomas are rare abdominal tumours in childhood. Pre-operative tumour-specific diagnosis is possible by (111)indium pentreotide SRS.