We present a case of a pancreatic islet cell tumor, demonstrating typi
cal clinical and immunohistochemical characteristics of a VIPoma, but
with the novel feature of massive stromal amyloid deposition. Amyloid
deposition has been reported in association with insulinomas of the pa
ncreas, but as far as the available literature suggests, it has not be
en reported in VIPomas. Islet associated polypeptide (IAPP) and calcit
onin are both candidates for the amyloidogenic peptide in this case, b
ased on observations in other tumors.