Long-Term Suppressive Effect of Octreotide on Progression of Metastatic Gastrinoma with Multiple Endocrine Neoplasia Type 1: Seven-Year Follow up

A 30-year-old woman had a history of prolactinoma and primary hyperparathyroidism. She was diagnosed as having multiple endocrine neoplasia type 1 with gastrinoma and liver metastases. Octreotide therapy was started and the serum gastrin level decreased immediately. Octreotide continued to suppress...

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Published inInternal Medicine Vol. 49; no. 15; pp. 1557 - 1563
Main Authors Yamaguchi, Megu, Yamada, Yuya, Hosokawa, Yoshiya, Iwamoto, Ryuya, Tamba, Sachiko, Ihara, Arisa, Yamamoto, Koji, Hoshida, Yoshihiko, Matsuzawa, Yuji
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Published Japan The Japanese Society of Internal Medicine 01.01.2010
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Abstract A 30-year-old woman had a history of prolactinoma and primary hyperparathyroidism. She was diagnosed as having multiple endocrine neoplasia type 1 with gastrinoma and liver metastases. Octreotide therapy was started and the serum gastrin level decreased immediately. Octreotide continued to suppress gastrin secretion over the next 7 years. The Ki67/MIB1 proliferation index of this tumor was only 0.5 % and somatostatin receptor (SSTR) 2 expression was very strong in both 2002 and 2009. This case suggests the importance of investigating the Ki67/MIB1 index and SSTR expression in patients with metastatic gastrinoma.
AbstractList A 30-year-old woman had a history of prolactinoma and primary hyperparathyroidism. She was diagnosed as having multiple endocrine neoplasia type 1 with gastrinoma and liver metastases. Octreotide therapy was started and the serum gastrin level decreased immediately. Octreotide continued to suppress gastrin secretion over the next 7 years. The Ki67/MIB1 proliferation index of this tumor was only 0.5 % and somatostatin receptor (SSTR) 2 expression was very strong in both 2002 and 2009. This case suggests the importance of investigating the Ki67/MIB1 index and SSTR expression in patients with metastatic gastrinoma.
Author Yamada, Yuya
Tamba, Sachiko
Hoshida, Yoshihiko
Matsuzawa, Yuji
Yamamoto, Koji
Hosokawa, Yoshiya
Ihara, Arisa
Iwamoto, Ryuya
Yamaguchi, Megu
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Snippet A 30-year-old woman had a history of prolactinoma and primary hyperparathyroidism. She was diagnosed as having multiple endocrine neoplasia type 1 with...
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SubjectTerms Adult
Disease Progression
Female
Follow-Up Studies
gastrinoma
Gastrinoma - diagnosis
Gastrinoma - drug therapy
Humans
MEN1
Multiple Endocrine Neoplasia Type 1 - diagnosis
Multiple Endocrine Neoplasia Type 1 - drug therapy
octreotide
Octreotide - administration & dosage
Pancreatic Neoplasms - diagnosis
Pancreatic Neoplasms - drug therapy
somatostatin receptor
Time Factors
Title Long-Term Suppressive Effect of Octreotide on Progression of Metastatic Gastrinoma with Multiple Endocrine Neoplasia Type 1: Seven-Year Follow up
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