it is concluded that 1 ) lymph node gastrinomas are usually metastatic from primary duodenal lesions , 2 ) although rare , nodal gastrinomas may occur as primary lesions , and 3 ) in the absence of hepatic metastases , lymph node gastrinomas , whether primary or metastatic , have a good prognosis and should not deter aggressive surgical treatment .
C1513183
metastatic
C0494165
hepatic metastases