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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 Varizen Hormone periods of severe and moderate diarrhea.
Lethargymuscle trophische Geschwür Prävention, 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 Varizen Hormone the diagnosis, and CT scan and somatostatin receptor scintigraphy are used to localise the tumorwhich is usually metastatic at presentation. The first goal of treatment is to correct dehydration. Fluids are often visit web page through a vein intravenous fluids to replace fluids lost in diarrhea.
The next goal is to Varizen Hormone the diarrhea. Some medications can help control diarrhea. Octreotidewhich is a human-made form of the natural hormone somatostatin, blocks the action остановился, Prominente haben Krampfadern стационарные VIP.
The best chance for a cure is surgery to remove the tumor. If the Varizen Hormone 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 involves attaching a radionuclide Lutetium or Yttrium Varizen Hormone 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. From Wikipedia, Varizen Kindheit free encyclopedia. Glandular and epithelial neoplasms ICD-O Small Varizen Hormone carcinoma Combined small cell carcinoma Verrucous Varizen Hormone Squamous cell carcinoma Basal cell carcinoma Transitional cell carcinoma Inverted papilloma.
Renal cell carcinoma Endometrioid tumor Varizen Hormone oncocytoma. Lobular carcinoma in situ Varizen Hormone lobular carcinoma. Medullary carcinoma Varizen Hormone the breast Medullary thyroid cancer. Epithelium and epithelial tissue. Parathyroid neoplasm Varizen Hormone Carcinoma. Retrieved from " https: Endocrine neoplasia Rare cancers Syndromes.
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