Chin S, Popat V, Boyne M S, Cochran C, Tulloch-Reid M
Department of Medicine', University Hospital of the West Indies, Kingston 7, Jamaica, West Indies.
West Indian Med J. 2007 Mar;56(2):182-6. doi: 10.1590/s0043-31442007000200015.
Herein reported is the case of a young woman who had hyperinsulinaemic hypoglycaemia which was biochemically consistent with an insulinoma. Initial imaging was negative and definitive treatment was delayed until repeat imaging localized the tumour several years later. This case demonstrates the importance of clinical judgment and biochemical testing in the diagnosis of insulinoma despite negative imaging.
本文报道了一名年轻女性患有高胰岛素血症性低血糖症的病例，其生化表现与胰岛素瘤相符。最初的影像学检查结果为阴性，确定性治疗被推迟，直到数年后重复影像学检查才定位到肿瘤。该病例表明，尽管影像学检查为阴性，但临床判断和生化检测在胰岛素瘤诊断中具有重要意义。
