Neuroendocrine Tumour in a 37-Year-Old Female: A Diagnostic Challenge

Pancreatic Neuroendocrine Tumours (PNETs) are a rare group of neoplasms arising from hormone-producing cells in the pancreas. Unlike the more common pancreatic adenocarcinomas, PNETs often grow more slowly and may produce hormones, leading to distinct clinical symptoms. We present a rare and diagnos...

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Main Authors: Manoj Dongare, Parin Nilesh Patel, Dakshyani Satish Nirhale, Kishore Jeughle, Siddharth Veerla
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2025-08-01
Series:Journal of Clinical and Diagnostic Research
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Online Access:https://jcdr.net/article_fulltext.asp?issn=0973-709x&year=2025&month=August&volume=19&issue=8&page=PD11-PD14&id=21361
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author Manoj Dongare
Parin Nilesh Patel
Dakshyani Satish Nirhale
Kishore Jeughle
Siddharth Veerla
author_facet Manoj Dongare
Parin Nilesh Patel
Dakshyani Satish Nirhale
Kishore Jeughle
Siddharth Veerla
author_sort Manoj Dongare
collection DOAJ
description Pancreatic Neuroendocrine Tumours (PNETs) are a rare group of neoplasms arising from hormone-producing cells in the pancreas. Unlike the more common pancreatic adenocarcinomas, PNETs often grow more slowly and may produce hormones, leading to distinct clinical symptoms. We present a rare and diagnostically challenging case of a PNET in a 37-year-old female who presented with a three-month history of epigastric pain. Initial imaging studies revealed a mass in the liver, mimicking Hepatocellular Carcinoma (HCC), while subsequent investigations, including Positron Emission Tomography-Computed Tomography (PET-CT) and ultrasound-guided Fine-Needle Aspiration Cytology (FNAC), suggested a PNET. A Whipple procedure was performed, and histopathological examination confirmed the diagnosis. This case highlights the importance of a multidisciplinary approach in managing rare and challenging malignancies, emphasising the need for clinical vigilance, advanced imaging, and histopathological evaluation to confirm the diagnosis. The successful management of this case underscores the critical role of timely surgical intervention and personalised treatment strategies in achieving favourable outcomes.
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spelling doaj-art-cbab29dd1dc14f46ade84fa67f7e7d9f2025-08-20T04:00:32ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2025-08-01198PD11PD1410.7860/JCDR/2025/79747.21361Neuroendocrine Tumour in a 37-Year-Old Female: A Diagnostic ChallengeManoj Dongare0Parin Nilesh Patel1Dakshyani Satish Nirhale2Kishore Jeughle3Siddharth Veerla4Senior Consultant, General Surgery, Dr. D. Y. Patil Medical College and Hospital, Pune, Maharashtra, India.Junior Resident, General Surgery, Dr. D. Y. Patil Medical College and Hospital, Pune, Maharashtra, India.Professor and Head, General Surgery, Dr. D. Y. Patil Medical College and Hospital, Pune, Maharashtra, India.Associate Professor, General Surgery, Dr. D. Y. Patil Medical College and Hospital, Pune, Maharashtra, India.Junior Resident, General Surgery, Dr. D. Y. Patil Medical College and Hospital, Pune, Maharashtra, India.Pancreatic Neuroendocrine Tumours (PNETs) are a rare group of neoplasms arising from hormone-producing cells in the pancreas. Unlike the more common pancreatic adenocarcinomas, PNETs often grow more slowly and may produce hormones, leading to distinct clinical symptoms. We present a rare and diagnostically challenging case of a PNET in a 37-year-old female who presented with a three-month history of epigastric pain. Initial imaging studies revealed a mass in the liver, mimicking Hepatocellular Carcinoma (HCC), while subsequent investigations, including Positron Emission Tomography-Computed Tomography (PET-CT) and ultrasound-guided Fine-Needle Aspiration Cytology (FNAC), suggested a PNET. A Whipple procedure was performed, and histopathological examination confirmed the diagnosis. This case highlights the importance of a multidisciplinary approach in managing rare and challenging malignancies, emphasising the need for clinical vigilance, advanced imaging, and histopathological evaluation to confirm the diagnosis. The successful management of this case underscores the critical role of timely surgical intervention and personalised treatment strategies in achieving favourable outcomes.https://jcdr.net/article_fulltext.asp?issn=0973-709x&year=2025&month=August&volume=19&issue=8&page=PD11-PD14&id=21361case reportmalignancypancreatic masssurgical managementwhipple procedure
spellingShingle Manoj Dongare
Parin Nilesh Patel
Dakshyani Satish Nirhale
Kishore Jeughle
Siddharth Veerla
Neuroendocrine Tumour in a 37-Year-Old Female: A Diagnostic Challenge
Journal of Clinical and Diagnostic Research
case report
malignancy
pancreatic mass
surgical management
whipple procedure
title Neuroendocrine Tumour in a 37-Year-Old Female: A Diagnostic Challenge
title_full Neuroendocrine Tumour in a 37-Year-Old Female: A Diagnostic Challenge
title_fullStr Neuroendocrine Tumour in a 37-Year-Old Female: A Diagnostic Challenge
title_full_unstemmed Neuroendocrine Tumour in a 37-Year-Old Female: A Diagnostic Challenge
title_short Neuroendocrine Tumour in a 37-Year-Old Female: A Diagnostic Challenge
title_sort neuroendocrine tumour in a 37 year old female a diagnostic challenge
topic case report
malignancy
pancreatic mass
surgical management
whipple procedure
url https://jcdr.net/article_fulltext.asp?issn=0973-709x&year=2025&month=August&volume=19&issue=8&page=PD11-PD14&id=21361
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AT parinnileshpatel neuroendocrinetumourina37yearoldfemaleadiagnosticchallenge
AT dakshyanisatishnirhale neuroendocrinetumourina37yearoldfemaleadiagnosticchallenge
AT kishorejeughle neuroendocrinetumourina37yearoldfemaleadiagnosticchallenge
AT siddharthveerla neuroendocrinetumourina37yearoldfemaleadiagnosticchallenge