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It may be associated with multiple endocrine neoplasia type 1. The massive amounts of VIP in turn cause profound and chronic watery diarrhea and resultant dehydrationhypokalemiaachlorhydria hence WDHA-syndromeor pancreatic cholera syndromeacidosis, vasodilation flushing and hypotensionhypercalcemia and hyperglycemia.

Half of the patients have relatively constant diarrhea while the rest have alternating periods of severe and moderate diarrhea. Lethargymuscle weakness, Varizen Kind, nauseavomiting and crampy abdominal pain are frequent symptoms. Achlorhydria is also a feature. During attacks of diarrhea, flushing similar to the carcinoid syndrome occur rarely.

Besides the clinical picture, fasting VIP plasma level may confirm the diagnosis, and CT scan and somatostatin receptor scintigraphy are used Anti-Cellulite-Creme mit Krampfadern kann sein localise the tumorwhich is usually metastatic at presentation. The first goal of treatment is to correct dehydration.

Fluids are often given through a vein intravenous fluids to replace fluids lost in diarrhea. The next goal is to slow the diarrhea.

Some medications can help control diarrhea. OctreotideVarizen Kind, which is a human-made form of the natural hormone somatostatin, blocks Varizen Kind action of VIP, Varizen Kind. The best chance for a cure is surgery to remove the tumor. If the tumor has not spread to other organs, surgery can often cure the condition.

For metastatic disease, peptide receptor radionuclide therapy PRRT can be highly effective. This treatment Varizen Kind attaching a radionuclide Lutetium or Yttrium to a somatostatin analogue octreotate or octreotide.

This is a novel way to deliver high doses of beta radiation to kill tumours. Some people seem to respond to a combination chemo called capecitabine and temozolomide but there is no report that it totally cured people from vipoma. Surgery can usually cure VIPomas.

However, in one-third to one-half of patients, the tumor has spread by the time of diagnosis and cannot be cured, Varizen Kind. From Wikipedia, the free encyclopedia. Glandular and epithelial neoplasms Varizen Kind Small cell carcinoma Combined small cell carcinoma Verrucous carcinoma Squamous cell carcinoma Basal cell carcinoma Transitional cell carcinoma Inverted papilloma.

Renal cell carcinoma Endometrioid tumor Renal oncocytoma. Lobular carcinoma in situ Invasive lobular carcinoma. Medullary carcinoma of the breast Medullary thyroid cancer. Warthin's tumor Thymoma Bartholin gland carcinoma. Epithelium and epithelial tissue.

Parathyroid neoplasm Adenoma Carcinoma. Retrieved from " https: Endocrine neoplasia Rare cancers Syndromes. Views Varizen Kind Edit View history. This page was last edited on 29 Marchat By Varizen Kind this site, you agree to the Terms of Use and Privacy Policy.

Complex epithelial Warthin's tumor Thymoma Bartholin gland carcinoma.


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