Sharma Pankaj, Sharma Sonia, Kalhan Shivani, Singh Bhanu Pratap, Sharma Sonam
Professor, Department of Radiodiagnosis, Army Hospital (Research & Referral) , Delhi Cantt, India .
Assistant Professor, Department of Pathology, Army College of Medical Sciences , Delhi Cantt, India .
J Clin Diagn Res. 2014 Sep;8(9):FD05-6. doi: 10.7860/JCDR/2014/8694.4782. Epub 2014 Sep 20.
Pancreatic endocrine tumours are rare in occurrence. They may present with a baffling range of symptoms which pose a diagnostic dilemma. Two cases of pancreatic insulinoma are presented herewith. Both presented with neuro-psychiatric complaints and were treated symptomatically for depression, anxiety, seizures etc. The diagnosis in these patients was missed for years. Insulinoma being a great diagnostic challenge, requires reasonably high clinical suspicion, accurate biochemical diagnosis and radiological localization to avoid extensive surgery. The aim is to highlight the occurrence of this rare tumour at a tertiary care hospital.
胰腺内分泌肿瘤发病率很低。它们可能表现出一系列令人困惑的症状,这给诊断带来了难题。本文介绍两例胰腺胰岛素瘤病例。两例均表现为神经精神方面的症状,并针对抑郁、焦虑、癫痫等进行了对症治疗。这些患者的诊断多年来一直被漏诊。胰岛素瘤是一个巨大的诊断挑战,需要相当高的临床怀疑度、准确的生化诊断和影像学定位,以避免进行广泛的手术。目的是强调在一家三级护理医院中这种罕见肿瘤的发生情况。