Читать книгу Pathy's Principles and Practice of Geriatric Medicine - Группа авторов - Страница 545

Endocrine tumours of the pancreas are rare. These tumours are classified according to the hormone they excrete, which typically correlates with the clinical presentation, although some low‐grade pancreatic neuroendocrine tumours may be found incidentally on imaging without clinical symptoms. Table 21.1 describes the common pancreatic endocrine tumours and their clinical characteristics.²²

Most pancreatic neuroendocrine tumours have malignant potential and may be part of the multiple endocrine neoplasia syndrome. Suspicion of a pancreatic neuroendocrine tumour, either on clinical grounds or based on imaging findings, should generally prompt referral to a multidisciplinary team including a gastroenterologist and surgeon. Endoscopic‐ultrasound guided biopsy is typically the first step in the diagnostic approach.