PMC3147136_01
Pancreatic head mass lesion with peripheral enhancement (in favour of an islet cell tumor) and three enhancing lesions in both hepatic lobes, in favour of hypervascular metastasis.
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fig1
 Abdominal computed tomography (CT) scan revealed a 10 x 8 mm lesion in head of pancreas with peripheral enhancement (in favor of an islet cell tumor) and three superficially located enhancing lesions in both hepatic lobes, in favor of hypervascular metastasis (Figure 1).
Monotonous cells look like gland islets with preservation of the regular cords, compatible with gastrinoma.
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fig2
No any nuclear atypia was seen (compatible with gastrinoma) (Figure 2).
Regression of hepatic lesions 18 months after chemoembolization.
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fig3
The pancreatic head is prominent without any apparent mass lesion (Figure 3).