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Review Open Access

VIPoma: Mechanisms, clinical presentation, diagnosis and treatment (Review)

  • Authors:
    • Leila Abdullayeva
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    Affiliations: Department of Clinical Anatomy and Operative Surgery, Joint Stock Company ‘National Medical University’, A05H2A0 Almaty, Kazakhstan
    Copyright: © Abdullayeva et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 229-235
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    Published online on: September 10, 2019
       https://doi.org/10.3892/wasj.2019.22
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Abstract

Vasoactive intestinal peptide (VIP) secreting tumour (VIPoma) is a rare neuroendocrine tumour that most often originates from pancreatic islet cells and affects one in ten million individuals per year. In adults, it develops most commonly in the fortieth year of life with a sparse female predominance. Excessive VIP secretion induces refractory watery diarrhoea, hypokalemia and achlorhydria. Other symptoms include hyperglycemia (20‑50%), hypercalcaemia (25‑50%), hypochlorhydria (20‑50%) and flushing (15‑30%). VIP plasma levels are increased in almost all patients with VIPoma, and, together with profusing secretory diarrhoea, it is sufficient to establish the diagnosis. Moreover, the majority of VIPomas are malignant or have already metastasised at the time of diagnosis. The treatment of the neoplasm comprises medical management and surgery. While surgery remains the gold standard of treatment, peptide receptor radionuclide therapy represents one of the most effective and well‑tolerated treatment options. The average survival rate of patients with VIPoma is 96 months. The objective of this review was to summarise all features of pancreatic VIPoma, as well as present novel treatment approaches for this rare neoplasm.
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Copy and paste a formatted citation
Spandidos Publications style
Abdullayeva L: VIPoma: Mechanisms, clinical presentation, diagnosis and treatment (Review). World Acad Sci J 1: 229-235, 2019.
APA
Abdullayeva, L. (2019). VIPoma: Mechanisms, clinical presentation, diagnosis and treatment (Review). World Academy of Sciences Journal, 1, 229-235. https://doi.org/10.3892/wasj.2019.22
MLA
Abdullayeva, L."VIPoma: Mechanisms, clinical presentation, diagnosis and treatment (Review)". World Academy of Sciences Journal 1.5 (2019): 229-235.
Chicago
Abdullayeva, L."VIPoma: Mechanisms, clinical presentation, diagnosis and treatment (Review)". World Academy of Sciences Journal 1, no. 5 (2019): 229-235. https://doi.org/10.3892/wasj.2019.22
Copy and paste a formatted citation
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Spandidos Publications style
Abdullayeva L: VIPoma: Mechanisms, clinical presentation, diagnosis and treatment (Review). World Acad Sci J 1: 229-235, 2019.
APA
Abdullayeva, L. (2019). VIPoma: Mechanisms, clinical presentation, diagnosis and treatment (Review). World Academy of Sciences Journal, 1, 229-235. https://doi.org/10.3892/wasj.2019.22
MLA
Abdullayeva, L."VIPoma: Mechanisms, clinical presentation, diagnosis and treatment (Review)". World Academy of Sciences Journal 1.5 (2019): 229-235.
Chicago
Abdullayeva, L."VIPoma: Mechanisms, clinical presentation, diagnosis and treatment (Review)". World Academy of Sciences Journal 1, no. 5 (2019): 229-235. https://doi.org/10.3892/wasj.2019.22
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