Junginger T, Böttger T, Beyer J, Weber W
Klinik und Poliklinik für Allgemein- und Abdominalchirurgie, Johannes-Gutenberg-Universität Mainz.
Chirurg. 1990 Sep;61(9):643-6.
From 12 Patients surgically explored because of suspected insulinoma, the diagnosis was correct in 11. In 8 patients there was a solitary insulinoma, which was diagnosed in every case by preoperative ultrasonography, computed tomography or angiography. In one patient with three adenomas, only one was diagnosed preoperatively, the second by palpation and the third by intraoperative sonography. One patient had a diffuse hyperplasia. The intraoperative frozen section was correct in 9 from 11 patients. The preoperative localisation of insulinoma assisted in the intraoperative identification. The intraoperative pancreatico sonography is an useful help in localisation of insulinoma. For treatment the enucleation of tumor is preferable.
在因疑似胰岛素瘤而接受手术探查的12例患者中，11例诊断正确。8例患者有单发胰岛素瘤，所有病例均通过术前超声、计算机断层扫描或血管造影诊断。1例有3个腺瘤的患者，术前仅诊断出1个，第2个通过触诊发现，第3个通过术中超声发现。1例患者有弥漫性增生。11例患者中有9例术中冰冻切片诊断正确。胰岛素瘤的术前定位有助于术中识别。术中胰腺超声对胰岛素瘤的定位很有帮助。治疗时，肿瘤剜除术较为可取。
