Table 1. Summary of the most common pancreatic neuroendocrine neoplasms.
Tumour | Symptoms and clinical findings | Primary location | Malignant (%) |
Insulinoma | Hypoglycaemia, neuroglycopenic symptoms | Pancreas (equally throughout) | 5–15 |
Gastrinoma | Abdominal pain, diarrhoea, peptic ulcers | Gastrinoma triangle | >50 |
Glucagonoma | Necrolytic migratory erythema, hyperglycaemia, venous thrombosis, weight loss | Pancreas (tail) | >60 |
VIPoma | Watery diarrhoea, hypokalaemia, achlorhydria (WDHA syndrome) | Pancreas (tail>head, body); rarely adrenal and periganglionic tissue | >50 |
Somatostatinoma | Hyperglycaemia, cholelithiasis, diarrhoea, steatorrhoea | Pancreas, duodenum | >60 |
Non-functioning tumours | Abdominal pain, weight loss | Pancreas (head>body, tail) | 60–90 |
VIPoma, vasoactive intestinal peptide tumours.