Pancreatic neuroendocrine neoplasms Quiz: Ace Your Exams
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A 45-year-old woman presents with abdominal pain and vomiting. The pain started five hours ago, originated around the umbilicus, and migrated to the right lower quadrant. The pain is stabbing in nature and has been progressively worsening. She has also vomited twice and has no appetite. Temperature is 37.8°C (100°F), blood pressure is 147/82 mmHg, and pulse is 91/min. On physical examination, right lower quadrant tenderness is noted. Ultrasound of the abdomen confirms appendiceal inflammation, and the patient is taken to the operating room for an appendectomy. Postoperative examination of the appendiceal specimen reveals a mass blocking the lumen of the appendix. Histological examination of the mass shows small cells with uniform round to oval nuclei and abundant granules that stain positive for synaptophysin. Which of the following is the most likely diagnosis?
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