ODP602 A Rare Case of Nonfunctional Metastatic Pancreatic Neuroendocrine Tumor Transformation into an Insulin-secreting Tumor: A Management Dilemma

Pancreatic neuroendocrine tumors (PNETs) although rare, have recently increased in incidence . Clinically they can be classified as functional or nonfunctional depending on presence or absence of active hormone symptomatology and this has a bearing on prognosis and management . Rarely nonfunctioning tumors can undergo biological transformation into a hormone-secreting tumor. We present a rare clinical scenario of a young male with widely metastatic nonfunctional PNET who later presented with profound hypoglycemia with concerns for transformation into an insulin secreting tumor. Presentation: No date and time listed