Middle East Journal of Cancer، جلد ۱۵، شماره ۲، صفحات ۱۴۵-۱۵۲

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عنوان انگلیسی Pancreatic Neuroendocrine Tumors: Spectrum of Clinical Presentation from a Tertiary Referral Center in Pakistan
چکیده انگلیسی مقاله Background: Pancreatic neuroendocrine tumors (P-NETs) constitute a subset of pancreatic mass lesions characterized by diverse clinical presentations. Despite their inherent malignant potential, the timely identification and treatment of these tumors are critical for achieving favorable clinical outcomes. This study aims to shed light on the heterogeneous tumor biology of P-NETs and the management strategies employed at a tertiary care center in Pakistan.
Method: A retrospective study encompassing all patients with a biopsy-confirmed diagnosis of P-NETs at Shifa International Hospital between January 1st, 2016, and June 30th, 2021, was conducted. Meticulous data extraction from pathology records and thorough searches of medical records were performed to gather relevant demographic and clinical information.
Results: A total of 24 patients were retrieved from our database, with 13 (54%) female patients. The mean age was 49.5 ± 16.3 years. Eight out of the 24 patients presented with abdominal pain. Most patients (14 out of 24) had lesions in the pancreatic head region. In three cases, lesions exhibited multicentricity. The mean lesion size measured 4.4 ± 2.3 cm. Three of the 24 patients displayed distant liver metastasis at the presentation time. 19 out of the 24 patients underwent surgical resections, while endoscopic ultrasound (EUS)-guided biopsy was performed in 4 out of 24 cases. EUS-guided tissue biopsy yielded accurate diagnoses in all four cases.
Conclusion: Most P-NETs are non-functional, and there is an almost equal distribution between male and female patients. Solitary lesions predominate, and metastasis is uncommon at initial presentation. EUS-guided fine needle biopsy stands out as a dependable diagnostic modality for P-NETs.
کلیدواژه‌های انگلیسی مقاله Neuroendocrine Tumors, Pancreas, Clinical presentation, Management, diagnosis

نویسندگان مقاله Kalsoom Akhlaq |
Department of Gastroenterology, Shifa International Hospital, Islamabad, Pakistan

Hadi Khan |
Department of Surgery, Shifa International Hospital, Islamabad, Pakistan

Zafar Ali |
Department of Pathology, Shifa International Hospital, Islamabad, Pakistan

Muslim Atiq |
Department of Gastroenterology, Shifa International Hospital, Islamabad, Pakistan

Shahzad Riyaz |
Department of Gastroenterology, Shifa International Hospital, Islamabad, Pakistan

Umar Yousaf Raja |
Department of Endocrinology, Shifa International Hospital, Islamabad, Pakistan

Amen Kiani |
Department of Surgery, Shifa International Hospital, Islamabad, Pakistan


نشانی اینترنتی https://mejc.sums.ac.ir/article_49639_0bd465e26806fdda8c1b325814724502.pdf
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