Pancreatic insulinoma co-existing with gastric GIST in the absence of neurofibromatosis-1

Pancreatic insulinoma co-existing with gastric GIST in the absence of neurofibromatosis-1

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Abstract Background Gastrointestinal stromal tumours (GIST) frequently occur in patients concrete fire table hidden propane tank with neurofibromatosis type 1 (NF-1).It has been reported that GIST may co-exist with pancreatic endocrine tumors but this has only been in association with NF-1.Case presentation A 76 year old woman presented with a 12 month history of hypoglycaemia symptoms.Abdominal CT scan demonstrated a 13 mm insulinoma localized in the tail of her pancreas.

She was commenced on diazoxide and later underwent surgery for enucleation of insulinoma when a small ( Conclusion This is the viking k2 slide gate operator first case report of a pancreatic insulinoma co-existing with a GIST in a patient without NF-1.In addition, we make the first report of rapidly growing cystic GIST recurrence following resection of a primary GIST tumour.