Abstract
A total of 1857 cases of pancreatic endocrinomas and related pathological disorders producing gut-pancreatic hormones were collected from the world literature and were statistically analyzed and evaluated. The entire series in the present study consisted primarily of histologically confirmed islet cell tumors, but included 30 cases of vasoactive intestinal peptide (VIP)-producing neurogenic tumors and 54 cases of islet hyperplasia, the former being excluded from the systematic evaluation. The series consisted of seven groups: (1) gastrinomas/Zollinger-Ellison syndrome (ZES), (2) somatostatinomas, (3) glucagonomas/diabetes-dermatitis syndrome (DDS), (4) insulinomas/hypoglycemic syndrome (HGS), (5) vipomas/watery diarrhea hypokalemia achlorhydria (WDHA) syndrome, (6) pancreatic polypeptide (PP)-producing tumors (PPomas), and (7) miscellaneous endocrinomas. The statistical analysis dealt mainly with the location, male/female ratio, age distribution, clinical and pathological features, multiplicity, and malignant nature of pancreatic endocrinomas. The delineating of 52 PPomas in this series, and confirmation of the tumor entity by radioimmunoassay and immunocytochemical procedures, were matters of special emphasis in this study.
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Niigata Registry [Soga J] (1994) Statistics of gut and pancreatic endocrinomas, computerized March 1994. (in press)
Soga J (1994) Carcinoid tumors: A statistical analysis of a Japanese series of 3,126 reported and 1,180 autopsy cases. Acta Med Biol 42:87–102
Zoilinger RM, Ellison EH (1955) Primary peptic ulcerations of the jejunum associated with islet cell tumors of the pancreas. Ann Surg 142:709–728
Imamura M, Takahashi K, Adachi H, Minematsu S, Shimada H, Naito M, Suzuki T, Tobe T, Azuma T (1987) Usefulness of selective arterial secretin injection test for localization of gastrinoma in the Zollinger-Ellison syndrome. Ann Surg 205:230–239
Polak JM, Pearse AGE, Grimelius L, Bloom SR, Arimura A (1975) Growth-hormone release-inhibiting hormone in gastrointestinal and pancreatic D cells. Lancet I:1220–1222
Larsson L-I, Hirsch MA, Holst JJ, Ingemansson S, Kühl C, Lindkaer Jensen S, Lundqvist G, Rehfeld JF, Schwartz TW (1977) Pancreatic somatostatinoma: Clinical features and physiogical implications. Lancet I:666–668
Ganda OP, Weir GC, Soeldner JS, Legg MA, Chick WL, Patel YC, Ebeid AM, Gabbay KH, Reichlin S (1977) “Somatostatinoma”: A somatostatin-containing tumor of the endocrine pancreas. N EngI J Med 296:963–967
Krejs GJ, Orci L, Conlon JM, Ravazzola M, Davis GR, Raskin P, Collins SM, McCarthy DM, Baetens D, Rubenstein A, Aldor TAM, Unger RH (1979) Somatostatinoma syndrome: Biochemical, morphologic and clinical features. N Engl J Med 301:285–292
Friesen SR (1993) The somatostatinoma (inhibitory) syndrome. In:Friesen SR (ed) Clio: Classic discoveries of neuroendocrine syndromes of the pancreas and gut. RG Landes, Austin, pp 224
Soga J, Suzuki T, Yoshikawa K, Katoh H, Tsuno Y, Muto T (1991) Carcinoid somatostatinoma of the duodenum: Report of a case and an analysis of reported cases. J Exp Clin Cancer Res 10:17–30
Munn JS, Prinz RA (1990) The diabetes-dermatitis syndrome: Glucagonoma. In: Friesen SR, Thompson NW (eds) Surgical endocrinology: Clinical syndromes, 2nd edn. JB Lippincott, Philadelphia, pp 233–248
Friesen SR (1993) The glucagonoma (diabetico-dermatogenic) syndrome. In: Friesen SR (ed) Clio: Classic discoveries of neuroendocrine syndromes of the pancreas and gut. RG Landes, Austin, pp 214–215
Unger RH, Eisentraut AM, Lochner JD'V (1963) Glucagonproducing tumors of the islets of Langerhans. J Clin Invest 42:987–988
Wilkinson DS (1971) Necrolytic migratory erythema with pancreatic carcinoma. Proc Roy Soc Med 64:1197–1198
Wilkinson DS (1974) Necrolytic migratory erythema with carcinoma of the pancreas. Trans St John's Hosp Derm Soc 59:244–250
Mallinson CN, Bloom SR, Warin AP, Salmon PR, Cox B (1974) A glucagonoma syndrome. Lancet II:1–5
Wilder RM, Allan FN, Power MH, Robertson HE (1927) Carcinoma of the islands of the pancreas: Hyperinsulinism and hypoglycemia. J Am Med Assoc 89:348–355
Whipple AO, Frantz VK (1935) Adenoma of islet cells with hyperinsulinism. Ann Surg 101:1299–1314
Priest WM, Alexander MK (1957) Islet-cell tumour of the pancreas with peptic ulceration, diarrhoea and hypokalemia. Lancet II:1145–1147
Verner JV, Morrison AB (1958) Islet cell tumor and a syndrome of refractory watery diarrhea and hypokalemia. Am J Med 25:374–380
Bloom SR, Polak JM, Pearse AGE (1973) Vasoactive intestinal peptide and watery diarrhoea syndrome. Lancet II:14–16
Kimmel JR, Hayden LJ, Pollock HG (1975) Isolation and characterization of a new pancreatic polypeptide hormone. J Biol Chem 250:9369–9376
Kimmel JR (1984) Discovery of a hormone: The ingredients of research. Kansas Research Day Address, Oct 5, 1984. In: Friesen SR (ed) Clio: Classic discoveries of neuroendocrine syndromes of the pancreas and gut. RG Landes, Austin, pp 262–263
Larsson L-I, Schwartz T, Lundqvist G, Chance RE, Sundler F, Rehfeld JF, Grimelius L, Fahrenkrug J, Schaffalitzky de Muckadell O, Moon N (1976) Occurrence of human pancreatic polypeptide in pancreatic endocrine tumors. Possible implication in the watery diarrhea syndrome. Am J Pathol 85:675–684
Bordi C, Togni R, Baetens D, Ravazzola M, Malaisse F, Orci L (1978) Human islet cell tumor storing pancreatic polypeptide: A light and electron microscopic study. J Clin Endocrinol Metab 46:215–219
Friesen SR, Kimmel JR, Tomita T (1980) Pancreatic polypeptide as screening marker for pancreatic polypeptide apudomas in multiple endocrinopathies. Am J Surg 139:61–72
Friesen SR, Tomita T, Kimmel JR (1983) Pancreatic polypeptide update: Its roles in the detection of the trait for multiple endocrine adenopathy syndrome, type I and pancreatic polypeptidesecreting tumors. Surgery 94:1028–1037
Soga J, Yakuwa Y (1994) Pancreatic polypeptide (PP)-producing tumors (PPomas): A review of the literature and statistical analysis of 58 cases. J Hep Bil Pancr Surg 1:556–563
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Soga, J., Yakuwa, Y. Pancreatic endocrinomas: A statistical analysis of 1,857 cases. J Hep Bil Pancr Surg 1, 522–529 (1994). https://doi.org/10.1007/BF01211914
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DOI: https://doi.org/10.1007/BF01211914