All are true about gastrinoma except:
Ans. (c) Most common site is pancreas* MC site is Duodenum (50-70%) > Pancreas (20-40%)* Duodenal primary spread to lymph nodes commonly* Pancreatic gastrinomas spreads to liver commonly* In duodenum MC site is 1st part >2nd Part.* 70-90% cases are located in PASSARO TriangleDiarrheas:* Explosive diarrhea - carcinoid tumors* Early morning spurious diarrhea - Rectal Cancers.* Watery Diarrhea+hypokalemia - VIP omas* Pancreatic Cholera - VIP omas* Rice water stools - Cholera* Pea Soup stools - Typhoid* Diarrhea getting reduced on Ryles tube aspiration - Zollinger Ellison Syndrome (Gastrinomas)
Mostly found in gastrinoma triangle
Increases acid production
Most common site is pancreas
Lymphadenectomy is not required as there is no improvement in survival
Pancreas