All are true about gastrinoma except:
Mostly found in gastrinoma triangle
Increases acid production
Most common site is pancreas
Lymphadenectomy is not required as there is no improvement in survival
Ans. (c) Most common site is pancreas* MC site is Duodenum (50-70%) > Pancreas (20-40%)* Duodenal primary spread to lymph nodes commonly* Pancreatic gastrinomas spreads to liver commonly* In duodenum MC site is 1st part >2nd Part.* 70-90% cases are located in PASSARO TriangleDiarrheas:* Explosive diarrhea - carcinoid tumors* Early morning spurious diarrhea - Rectal Cancers.* Watery Diarrhea+hypokalemia - VIP omas* Pancreatic Cholera - VIP omas* Rice water stools - Cholera* Pea Soup stools - Typhoid* Diarrhea getting reduced on Ryles tube aspiration - Zollinger Ellison Syndrome (Gastrinomas)
Pancreas