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  • Title: [Malignant somatostatinoma of the papilla major and minor].
    Author: Heidt H, Högel B, Giedl J, Gall FP, Ottenjann R.
    Journal: Dtsch Med Wochenschr; 1989 Nov 10; 114(45):1740-3. PubMed ID: 2553383.
    Abstract:
    In a 50-year-old man with extrahepatic cholestasis and iron-deficiency anaemia, local operative excision of a 4 cm submucous tumour of the papilla of Vater revealed on histological and immunochemical examination a somatostatinoma. Subsequent duodenopancreatectomy further demonstrated in the surgical specimen a lymph node metastasis and a 5 mm somatostatinoma in the papilla minor. The patient has now been free of symptoms for 12 months on substitution treatment with pancreatic enzymes.
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