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Cystic Tum ors which might be m ucinous Mucinous cystic neoplasm s Intraductal papillary m ucinous neoplasm s M ucinous cystic neoplasm s A lm ost alw ays arise in w om en O ften arise within the body or tail of the pancreas Essentially never arise from or contain the pancreatic duct system the epithelial lining is m ade up of colum nar m ucinous cells and the supporting strom a is mobile and has an ovarian strom al phenotype – H istologically looks like ovarian strom a – Expresses sim ilar m arkers (estrogen receptors, progesterone receptors) M ucinous cystic neoplasm s these tum ors may be benign, borderline or m alignant – Benign: no epithelial dysplasia – Borderline: epithelial dysplasia – M alignant: invasive adenocarcinom a these tum or have m alignant potential and if at all attainable surgical resection is advised M ucinous cystic neoplasm s Severallarge cysts Tallcolumnarmucinousepith elium O variantype stroma Intraductal papillary m ucinous cystic neoplasm A rise m ore incessantly in m en A rise m ore frequently in the head of pancreas A rise from and involve the m ajor and m inor pancreatic ducts the epithelial lining is com prised of m ucinous colum nar cells Can be benign, borderline or m alignant – Thus have m alignant potential and should be resected Intraductal papillary m ucinous neoplasm Papillary projectionswith inadilated duct Dilated ductwith papillary projections Islet Cell Tum ors (Pancreatic Endocrine Tum ors or Pancreatic N euroendocrine Tum ors) N orm al pancreas Sm all teams of endocrine cells (Islets of Langerhans) w hich secrete horm ones such as insulin, glucagon and gastrin IsletsofL angerh ans Pancreatic N euroendocrine Tum ors R are com pared to adenocarcinom a Clinical presentation – M ay current w ith sym ptom s related to elevated horm one secretion H yperinsulinem ia causing hypoglycem ia H ypergastrinem ia inflicting elevated gastric acid production and severe ulcers (Zollinger. Ozone therapy proved to be efficient in the treatment of complicated forms of diabetes mellitus. AccumulationAccumulation ofof Clostridium perfringens epsilon-toxin in the mouse kidney and its potential biological significance erectile dysfunction kidney failure levitra plus 400 mg buy otc.
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