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Published on: October 31, 2025
[Gastrinoma has an infrequent prevalence in pediatric age: a case report]
Guilherme Endrigo Fernandes1, Tatiana Larissa Medeiros Arcanjo, Nubia Mendonça
1Universidade Federal da Bahia, Salvador, Bahia, Brasil. endrigo.gui@hotmail.com
Insights
This study details a rare pediatric gastrinoma case in a toddler. Elevated serum gastrin and endoscopic findings confirmed the diagnosis, highlighting the need to consider this rare tumor in children.
Area of Science:
- Pediatric Endocrinology
- Gastroenterology
- Oncology
Background:
- Gastrinoma, a rare neuroendocrine tumor, primarily affects young adults.
- Diagnosis typically involves elevated serum gastrin levels and characteristic endoscopic findings.
- Consideration in pediatric populations is infrequent but crucial when symptoms align.
Observation:
- A case study of a 1-year, 9-month-old patient presenting with clinical, laboratory, and radiological signs of gastrinoma.
- Fasting laboratory tests revealed significantly elevated serum gastrin levels.
- Endoscopic examination identified an elevated lesion with central depression.
Findings:
- Immunohistochemical analysis confirmed the tumor's benign nature.
- Evidence of hyperplasia of argentaffin cells was noted.
- The findings support a diagnosis of gastrinoma in a pediatric patient.
Implications:
- This case underscores the importance of considering gastrinoma in pediatric patients with suggestive clinical and laboratory findings.
- Early diagnosis and management are critical for rare pediatric tumors.
- Highlights the need for expanded differential diagnoses in pediatric endocrinology and oncology.
Abstract:
The authors present the clinical, laboratory and radiological findings suggestive ofgastrinoma in a patient 1 year and 9 months old. Laboratory tests obtained after fasting revealed elevated serum gastrin, supporting the suspected diagnosis of gastrinoma. In the endoscopy an elevated lesion with central depression was observed. The immunohistochemical examination revealed the benign nature of the tumor and the hyperplasia of argentaffin cells. Gastrinoma is a rare disease that predominantly affects young adults, but it must be considered in the pediatric group when clinical and laboratorial features of this disease are observed.
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