Abstract
VIPomas (VIP: vasoactive intestinal peptide), gastrinomas, glucagonomas, insulinomas and GRFomas (GRF: growth hormone releasing factor) comprise the tumors of the gastroenteropancreatic (GEP) system. Patients with mixed pancreatic endocrine tumors usually present with symptoms characteristic of only one peptide, for example, hypoglycemia due to insulinoma. Although controversy exists over the exact site of origin of GEP endocrine cells and the etiology of the tumors, the APUD (amine precursor uptake and decarboxylation) cell concept of Pearse [99] provides a framework for understanding how endocrine tumor cells might produce multiple peptides [91]. In cases of ‘non-functional’ endocrine tumors, peptides with less well-defined pathophysiologic functions (e.g. pancreatic polypeptide) may be secreted.
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Gaginella, T.S., O’Dorisio, T.M., Mekhjian, H.S., O’Dorisio, M.S., Woltering, E.A. (1989). Tumors of the Gastroenteropancreatic Axis. In: O’Dorisio, T.M. (eds) Sandostatin® in the Treatment of Gastroenteropancreatic Endocrine Tumors. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-61328-9_4
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