A case of splenic vein occlusion caused by the intravenous tumor thrombus of nonfunctioning islet cell carcinoma |
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| Authors: | Makoto Watase Masato Sakon Morito Monden Yoshio Miyoshi Takeshi Tono Takeru Ichikawa Naoyuki Kubota Hitoshi Shiozaki Hiroshi Okuda Jun Okamura Takesada Mori |
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| Affiliation: | (1) The Second Department of Surgery, Osaka University Hospital, 1-1-50 Fukushima, Fukushima-ku, 553 Osaka, Japan;(2) the Department of Surgery, Tennouji Hospital, Japan;(3) the Department of Surgery, Yao City Hospital, Japan;(4) the Department of Surgery, Osaka Teishin Hospital, Osaka, Japan |
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| Abstract: | ![]()
We report herein a case of successfully treated advanced, nonfunctioning islet cell carcinoma associated with left-sided portal hypertension. The splenic vein was obstructed by a huge intravenous tumor thrombus developing from the main pancreatic tumor. Direct invasion to adjacent organs such as the spleen, colon, left kidney and stomach was also observed, although liver metastasis was not present. Radical resection was carried out with removal of these five involved organs and the patient is alive without recurrence more than 5 years after surgery. |
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| Keywords: | nonfunctioning islet cell carcinoma left-sided portal hypertension tumor thrombus |
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