Difference between revisions of "Endocrine Pancreas - Pathology"

From WikiVet English
Jump to navigation Jump to search
Line 13: Line 13:
 
[[Insulinoma]]
 
[[Insulinoma]]
  
===Carcinomas===
+
===[[Carcinoma]]s===
*Larger than adenomas
+
 
*Multilobular
 
*Invasive into parenchyma and surrounding tissue
 
*Metastasis into [[Lymph Nodes - Anatomy & Physiology|lymph nodes]], [[Liver - Anatomy & Physiology|liver]] mesentery, omentum
 
*Few mitotic figures
 
 
===Gastrinoma===
 
===Gastrinoma===
 
[http://w3.vet.cornell.edu/nst/nst.asp?Fun=Image&imgID=7762 Image of pancreatic garstrinoma in a dog from Cornell Veterinary Medicine]
 
[http://w3.vet.cornell.edu/nst/nst.asp?Fun=Image&imgID=7762 Image of pancreatic garstrinoma in a dog from Cornell Veterinary Medicine]

Revision as of 13:39, 9 June 2010



Pancreas, Endocrine - Degenerative Pathology

Neoplasia

Insulin Secreting Neoplasms

Insulinoma

Carcinomas

Gastrinoma

Image of pancreatic garstrinoma in a dog from Cornell Veterinary Medicine

  • Described in dogs, cats
  • Known as Zollinger-Ellison syndrome in humans
  • Uncommon compared to beta cell neoplasms
  • Excess gastrin causes hyperacidity in the stomach and mucosal hyperplasia of the antral region causing gastric and duodenal ulceration

Clinical signs

Pathology

  • Multiple variably sized neoplasms
  • Increased connective tissue mass - firm
  • Partiallty encapsulated
  • Invade locally
  • Metastases to liver and local lymph nodes are common

Glucagonoma

  • Very rare
  • Characterised by
    • Hyperglycaemia
    • Vacuolar hepatopathy
    • Skin erythema with superficial necrotising dermatitis
  • Diagnosis in dogs is difficult as presents together with DM