RESUMO
Nesidioblastosis is a rare disorder in adults characterized by diffuse proliferation of islet cells. The ideal diagnostic and therapeutic approach is still controversial. The diagnosis in our case was made after distal pancreatectomy as the treatment of insulinoma. Finally, all the remaining pancreatic tissue had to be removed [total pancreatectomy] to control episodes of hypoglycemia
Assuntos
Humanos , Feminino , Adulto , Nesidioblastose/cirurgia , Ilhotas Pancreáticas/patologia , Hipoglicemia , Pancreatectomia , Insulinoma/cirurgiaRESUMO
There is a group of tumors share the same nuclear size <3 red blood cells and can be differentiated only by immunostaining. All thoracic small cells tumors diagnosed between 1998-2001 during 4 years. At AL ASSAD UNIVERSITY HOSPITAL - DAMASCUS UNIVERSITY. There were 103 cases [66 cases of small cell carcinoma, 30 malignant lymphoma, and 7 cases of PNET]. We performed the immunostaining in 31 cases of small cell carcinoma, all of them were malignant lymphomas and the 7 cases of PNET [asterisk]. PNET cannot be diagnosed without immunostaining. We must demand the immunostaining if there is a doubt [clinical or pathological] about the real nature of a small cell tumor