Somatostatinoma

##Somatostatinoma
  • Rare pancreatic/duodenal tumor that can be functional or non-functional
  • Non-functional tumors are more commonly found in the duodenum and can obstruct the biliary ducts; can cause pain vomiting, and jaundice.
  • Functional tumors secrete somatostatin - inhibits growth hormone and other pituitary hormones; suppresses the release of several gastrointestinal hormones (glucagon, cholecystokinin, secretin, etc.).
    • Thus, digestive functioning is impaired (including gastric emptying and bile flow), and patients often present with diabetes mellitus and/or steatorrhea.
  • Pancreatic tumors are more often malignant.
May be found in MEN1