Multifocal Insulinoma in Pancreas and Effect of Intraoperative Ultrasonography
Joint Authors
Borazan, Ersin
Aytekin, Alper
Yilmaz, Latif
Elci, Muhsin
Karaca, Mehmet Salih
Kervancioglu, Selim
Balik, Ahmet Abdulhalik
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-07-29
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Insulinoma is the most frequently seen functional pancreatic neuroendocrine tumor.
The incidence of multifocal insulinoma is lower than 10%.
Its treatment is direct or laparoscopic excision.
The present case was examined with the findings of hypoglycemia and hypercalcemia, and as there was high insulin and C-peptide levels the initial diagnosis was insulinoma.
The case was investigated in terms of MEN 1.
During preoperative screening for localization, there was one focus in the head of the pancreas in the abdominal tomography and two foci in endoscopic ultrasonography.
No other focus was detected through intraoperative visual or manual palpation.
However, five foci were detected during operation by intraoperative ultrasonography.
The relation of masses with the main pancreatic canal was evaluated and they were excised by enucleation method.
There was no recurrence during the postoperative 18-month follow-up of the patient.
As a result, during treatment for insulinoma, it should be kept in mind that there might be multifocal foci.
In all insulinomas, the whole pancreas should be evaluated with intraoperative ultrasonography because none of the current preoperative diagnostic methods are as sensitive as manual palpation of pancreas and intraoperative ultrasonography.
The intraoperative detection of synchronous five foci in pancreas is quite a rare condition.
American Psychological Association (APA)
Borazan, Ersin& Aytekin, Alper& Yilmaz, Latif& Elci, Muhsin& Karaca, Mehmet Salih& Kervancioglu, Selim…[et al.]. 2015. Multifocal Insulinoma in Pancreas and Effect of Intraoperative Ultrasonography. Case Reports in Surgery،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1060048
Modern Language Association (MLA)
Borazan, Ersin…[et al.]. Multifocal Insulinoma in Pancreas and Effect of Intraoperative Ultrasonography. Case Reports in Surgery No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1060048
American Medical Association (AMA)
Borazan, Ersin& Aytekin, Alper& Yilmaz, Latif& Elci, Muhsin& Karaca, Mehmet Salih& Kervancioglu, Selim…[et al.]. Multifocal Insulinoma in Pancreas and Effect of Intraoperative Ultrasonography. Case Reports in Surgery. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1060048
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1060048