[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.

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