CHANGING APPROACH TO GASTROENTEROPANCREATIC TUMORS - CASE-REPORT OF AGASTRINOMA METASTASIS LOCALIZED BY SOMATOSTATIN-RECEPTOR SCINTIGRAPHY

A 60-year-old female with a history of chronic pancreatitis and previo us pancreaticojejunostomy has been submitted to distal gastric resecti on for recurrent perforating ulcers. A carcinoid tumour was identified in the surgical specimen. Hypergastrinaemia was subsequently diagnose d and tumour localization was carried out by a new scintigraphic techn ique with In-111-Pentetreotide. The tumour was found to be a metastasi s confined to a peripancreatic lymph node. Surgery was successful, and 6 months later the patient is still eugastrinaemic. The different ima ging methods for the identification of gastrinomas are discussed toget her with the current therapeutic options.