胰岛素瘤的术前检测：两例病例报告。
Preoperative detection of insulinomas: two case reports.
作者信息
Ozkaya Mesut, Yuzbasioglu Mehmet Fatih, Koruk Irfan, Cakal Erman, Sahin Mustafa, Cakal Basak
机构信息
Department of General Surgery, Sutcu Ymam University Medical Faculty, Kahramanmaras, Turkey.
出版信息
Cases J. 2008 Nov 29;1(1):362. doi: 10.1186/1757-1626-1-362.
BACKGROUND
Insulinoma is the most common endocrine tumor of the pancreas. Accurate preoperative detection and localization of insulinomas is essential for the appropriate selection of candidates for surgery. We present two cases with benign pancreatic insulinoma.
CASE PRESENTATION
Preoperative evaluation for patients with suspected insulinomas has been controversial. Endoscopic ultrasonography (EUS) has a sensitivity of 95% in well skilled operators and well tolerated preoperative imaging method.
CONCLUSION
We have detected the insulinomas with EUS before surgery in our patients but other imaging modalities did not help us for localization of them. Patients have been asymptomatic postoperatively with no hypoglycemia on repeat fasting. We reviewed here the different modalities for preoperative localization of insulinoma.
背景
胰岛素瘤是胰腺最常见的内分泌肿瘤。准确的术前检测和定位胰岛素瘤对于合适的手术候选者选择至关重要。我们展示两例良性胰腺胰岛素瘤病例。
病例报告
疑似胰岛素瘤患者的术前评估一直存在争议。内镜超声检查（EUS）在技术熟练的操作者中灵敏度为95%，是耐受性良好的术前成像方法。
结论
我们在患者手术前通过EUS检测到了胰岛素瘤，但其他成像方式对其定位并无帮助。患者术后无症状，再次禁食时无低血糖情况。我们在此回顾胰岛素瘤术前定位的不同方式。
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