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− | {{review}}
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− | | + | #REDIRECT[[:Category:Pancreas - Pathology]] |
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− | ==[[Pancreas, Endocrine - Degenerative Pathology]]==
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− | ==Neoplasia==
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− | ===[[Insulin Secreting Neoplasms]]===
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− | [[Insulinoma]]
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− | ===Carcinomas===
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− | *Larger than adenomas
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− | *Multilobular
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− | *Invasive into parenchyma and surrounding tissue
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− | *Metastasis into [[Lymph Nodes - Anatomy & Physiology|lymph nodes]], [[Liver - Anatomy & Physiology|liver]] mesentery, omentum
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− | *Few mitotic figures
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− | ===Gastrinoma===
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− | [http://w3.vet.cornell.edu/nst/nst.asp?Fun=Image&imgID=7762 Image of pancreatic garstrinoma in a dog from Cornell Veterinary Medicine]
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− | *Described in dogs, cats
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− | *Known as Zollinger-Ellison syndrome in humans
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− | *Uncommon compared to beta cell neoplasms
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− | *Excess gastrin causes hyperacidity in the stomach and mucosal hyperplasia of the antral region causing gastric and [[Duodenum - Anatomy & Physiology|duodenal]] ulceration
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− | ====Clinical signs====
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− | *Anorexia
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− | *Severe weight loss
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− | *[[Control of Feeding - Anatomy & Physiology#The Vomit Reflex|Vomiting]]
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− | *[[Diarrhoea]]
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− | *Dehydration
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− | ====Pathology====
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− | *Multiple variably sized neoplasms
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− | *Increased connective tissue mass - firm
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− | *Partiallty encapsulated
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− | *Invade locally
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− | *Metastases to [[Liver - Anatomy & Physiology|liver]] and local lymph nodes are common
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− | ===Glucagonoma===
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− | *Very rare
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− | *Characterised by
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− | **Hyperglycaemia
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− | **Vacuolar hepatopathy
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− | **Skin erythema with superficial necrotising dermatitis
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− | *Diagnosis in dogs is difficult as presents together with [[DM|DM]]
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− | <br>
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