The nonfunctioning islet cell tumors of pancreas are not associated with obvious sign and symptoms of hormone overproduction. Symptoms, most commonly pain and jaundice, are due to the mass effect of the tumor and invasion of the surrounding structures, and unlike functioning tumors, the location of the tumor has a direct bearing on the patient's symptoms. We have experienced a case of benign nonfunctioning islet cell tumor of the pancreas in 47-year-old female. She was admitted to our hospital due to palpable large mass of her abdomen. She had no obvious sign and symptoms of hormone overproduction. The exploratory laparatomy was done under the impression of retroperitoneal tumor with the information of radiologic finding and abdominal C-T scan. The pathologic diagnosis was benign nonfunctioning islet cell tumor of the pancreas.
A case of lead poisoning is presented and recent litures are reviewed. A 47-year old male had been admitted to Ewha Womans University Hospital in March 1983 with chief complaints of abdominal colic & distention, nausea and tingling sensation of lower extremities after ingestion of herb pills(HAE GU SIN). Laboratory examinations are as follows; anemia with hypocromic, microcytic, basophilic stippling of erythrocytes in peripheral blood and bone marrow. Blood level of lead was 34.6mcg/dl, urine level of lead was 128.4mcg/L, coproporphyrine and ▵-ALA in 24hours urine were 270.8mcg/L, 19.9mg/L respectively. After treatment with BAL for 1 day, blood level of lead was 30.4mcg/dl, urine level of lead was 2988.6mcg/L, coproporphyrine and ▵-ALA in 24hours urine were increased to 667.2mcg/L, 5.5mg/L respectively and quantitative analysis of herb pills revealed 10% of containing lead.