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Malignant Insulinoma in Ectopic Pancreatic Tissue.
- Source :
-
Digestive Surgery . 2005, Vol. 22 Issue 5, p377-379. 3p. 2 Color Photographs. - Publication Year :
- 2005
-
Abstract
- Background: Both ectopic pancreatic tissue and malignant insulinoma are rare. We encountered the combination of these rare entities in a patient demonstrating hypoglycemic symptoms. Method: A patient with episodic hypoglycemia, non-suppressed serum insulin levels, positive fasting test and a positive localization on both ultrasound and somatostatin receptor scintigraphy by 111I-labelled octreotide, was operated and investigated. Results:111I-labelled octreotide-guided surgery was performed and a tumor adjacent to the ligament of Treitz was extirpated. Follow-up was uneventful. Histopathology revealed a malignant insulinoma. The patient is currently under close surveillance. Conclusion: The rare combination of an insulinoma in ectopic pancreatic tissue, where the usual diagnostic endoscopic ultrasound revealed an extrapancreatic mass, is described. This was followed by a positive somatostatin receptor scintigraphy, enabling both radio-guided surgery and future treatment of developing recurrent disease or metastases. Copyright © 2005 S. Karger AG, Basel [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 02534886
- Volume :
- 22
- Issue :
- 5
- Database :
- Academic Search Index
- Journal :
- Digestive Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 19890910
- Full Text :
- https://doi.org/10.1159/000090998