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. 2025 Jul 17.
doi: 10.2169/internalmedicine.5837-25. Online ahead of print.

Spontaneous Regression in Pancreatic Neuroendocrine Tumor

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Free article

Spontaneous Regression in Pancreatic Neuroendocrine Tumor

Mami Bamba et al. Intern Med. .
Free article

Abstract

Spontaneous regression (SR) of pancreatic neuroendocrine tumors (pNETs) is extremely rare. We herein report a 64-year-old man with a nonfunctioning pNET that was incidentally detected during an evaluation for back pain. Imaging showed a 30-mm mass in the pancreatic tail, but surgery was delayed because of an old myocardial infarction. Four months later, follow-up imaging revealed tumor shrinkage of 20 mm without treatment. Laparoscopic distal pancreatectomy confirmed a grade 3 pNET. While ischemia was considered, factors such as mild immune response or metabolic stress may have contributed. This case suggests that ischemia and other factors may also play a role. Further research is needed to elucidate the mechanisms underlying SR in NETs.

Keywords: immune response; ischemia; pancreatic neuroendocrine tumor; spontaneous regression.

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