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A 7-year-old child with primary tumour localisation in the distal duodenum – new imaging procedures for an improved diagnosis
Authors:D. Cholewa  J. Waldschmidt  K. Hoffmann  M. Bäder  T. Zimmer  H. Scherübl  E.-O. Riecken  B. Wiedenmann
Affiliation:Department of Paediatric Surgery, Universit?tsklinikum Benjamin Franklin, Freie Universit?t Berlin, Hindenburgdamm 30, D-12200 Berlin, Germany, DE
Department of Nuclear Medicine, Universit?tsklinikum Benjamin Franklin, Freie Universit?t Berlin, Hindenburgdamm 30, D-12200 Berlin, Germany, DE
Universit?tsklinikum Benjamin Franklin, Abteilung fur Innere Medizin mit Schwerpunkt Gastroenterologie, Hindenburgdamm 30, D-12200 Berlin, Germany Tel.: 0049/30/84454094; Fax: 0049/30/84454493, DE
Abstract: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 pre-operative SRS, endoscopic ultrasound and intra-operative endoscopic transillumination. Conclusion Gastrinomas are rare abdominal tumours in childhood. Pre-operative tumour-specific diagnosis is possible by 111indium pentreotide SRS. Received: 9 May 1996 / Accepted: 21 October 1996
Keywords:Metastatic duodenal gastrinoma  Childhood  Somatostatin receptor scintigraphy
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