Table 3. Clinical and immunocytochemical findings in 25 pancreatic endocrine tumours.
Metastases |
Clinical outcome |
ICC findings |
|||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Case no. | Age | Sex | Hormonal Syndrome | Lgl | Liver | Years | NED | AWD | DWD | DOD | NESP55 | CgA | |
Well-differentiated endocrine tumour | |||||||||||||
Insulinoma | 16 | 62 | M | Yes | — | — | 1 | X | 0 | 0 | 0 | 2+ | 3+ |
17 | 80 | F | Yes | — | — | 8 | X | 0 | 0 | 0 | 3+ | 3+ | |
18 | 17 | F | Yes | — | — | 3 | X | 0 | 0 | 0 | 3+ | 3+ | |
19 | 32 | F | Yes | — | — | 1 | X | 0 | 0 | 0 | — | 3+ | |
20 | 83 | F | Yes | — | — | 1 | X | 0 | 0 | 0 | 3+ | 3+ | |
21a | 68 | F | Yes | — | — | 7 | X | 0 | 0 | 0 | 3+ | 3+ | |
Glucagonoma | 22 | 50 | F | Yes | — | — | 7 | X | 0 | 0 | 0 | — | 3+ |
Gastrinoma | 23a | 55 | M | Yes | — | — | 3 | X | 0 | 0 | 0 | 1+ | 3+ |
Nonfunctioning | 24 | 63 | F | No | — | — | 4 | X | 0 | 0 | 0 | — | 3+ |
25 | 63 | M | No | — | — | 1 | X | 0 | 0 | 0 | 2+ | 3+ | |
26 | 25 | M | No | — | — | 11 | X | 0 | 0 | 0 | — | 3+ | |
27 | 76 | F | No | — | — | 4 | X | 0 | 0 | 0 | 2+ | 3+ | |
Well-differentiated endocrine carcinoma | |||||||||||||
Insulinoma | 28 | 62 | M | Yes | + | — | <1 | 0 | 0 | Xb | 0 | 3+ | 3+ |
29 | 69 | M | Yes | — | + | <1 | 0 | 0 | Xc | 0 | 1+ | 3+ | |
Glucagonoma | 30 | 49 | M | Yes | + | — | 6 | X | 0 | 0 | 0 | — | 3+ |
Gastrinoma | 31 | 30 | F | Yes | — | + | 7 | 0 | 0 | 0 | X | — | 3+ |
Nonfunctioning | 32 | 48 | M | No | —d | — | 2 | 0 | X | 0 | 0 | 1+ | 3+ |
33a | 55 | M | No | + | — | 2 | 0 | X | 0 | 0 | — | 2+ | |
34 | 53 | M | No | + | + | 3 | X | 0 | 0 | 0 | 1+ | 3+ | |
35 | 40 | M | No | — | + | 4 | Xe | 0 | 0 | 0 | 1+ | 3+ | |
36 | 49 | M | No | + | — | 4 | 0 | X | 0 | 0 | 1+ | 3+ | |
37 | 47 | M | No | + | — | 1 | 0 | 0 | 0 | X | — | 2+ | |
38f | 55 | F | No | + | — | 5 | X | 0 | 0 | 0 | — | 3+ | |
39 | 58 | F | No | + | + | 5 | 0 | X | 0 | 0 | — | 3+ | |
40 | 45 | F | No | + | + | 7 | Xg | 0 | 0 | 0 | — | 3+ |
Age=age at diagnosis and primary surgery. F=female, M=male. Metastases: Lgl=lymph node metastases, liver=liver metastases. Clinical outcome: Years=observation time. X indicates outcome at follow up, which was categorized as NED=alive, no evidence of disease. AWD=alive with disease. DWD=dead with disease. DOD=dead of disease. ICC findings: The categories were as follows: 0=<1% positive cells, 1+=1–24% positive cells, 2+=25–75% positive cells, 3+=>75% positive cells.
MEN 1 syndrome.
Died postoperatively because of surgical complications.
Died from metastatic rectal carcinoma.
Tumour invading large vessels.
Treated with orthotopic liver transplantation (OLT) following diagnosis, treated for local recurrence 3 years post-OLT, and treated for adrenal metastases 4 years post-OLT.
Von Hippel–Lindau syndrome.
Treated with orthotopic liver transplantation (OLT), 5 years after primary surgery because of liver metastases.