By A. M. Gelb, B. Straus (auth.), Professor Dr. med. Dieter Platt (eds.)

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Additional info for Geriatrics 2: Digestive System · Endocrine System Kidney and Urogenital System Haematological System · Respiratory System Rehabilitation · Nutrition · Drug Treatment

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Abdominal pain and bleeding are the most common symptoms. An abdominal mass may be present. Partial or complete obstruction may occur. Because of the relative rarity of the lesion, there is frequently delay from onset of symptoms to diagnosis. Radiology both with barium and angiography are helpful in diagnosis. Fiberoptic examination of the small bowel is still not practical except for the first portion of the duodenum. The prognosis is usually poor although a twenty percent 5-year survival has been reported with surgery.

An abdominal mass may be present. Partial or complete obstruction may occur. Because of the relative rarity of the lesion, there is frequently delay from onset of symptoms to diagnosis. Radiology both with barium and angiography are helpful in diagnosis. Fiberoptic examination of the small bowel is still not practical except for the first portion of the duodenum. The prognosis is usually poor although a twenty percent 5-year survival has been reported with surgery. 22 A. M. GELB and B. STRAUS b) Lymphoma Primary lymphoma is the next most frequent malignancy (TRIER 1978 c).

Glucagonomas, a rare tumor, produce both diabetes and a necrolytic migratory cutaneous erythema resembling pemphigus. Single islet cell tumors may elaborate mUltiple hormones, some of which are inappropriate to the pancreas but consistent with the concept of islet cells being derived from multipotential cells. c) Benign Tumors Benign tumors of the pancreas are uncommon. They may be solid or cystic. Often discovered incidentally at surgery, they may sometimes grow large enough to be palpable and cause symptoms.

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