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局灶性胰岛细胞增殖症的诊断与定位困难:(68)镓 - DOTA - D - 苯丙氨酸(1) - 酪氨酸(3) - 奥曲肽PET扫描的临床意义

Difficult diagnosis and localization of focal nesidioblastosis: clinical implications of (68)Gallium-DOTA-D-Phe(1)-Tyr(3)-octreotide PET scanning.

作者信息

Kim Jae Ri, Jang Jin-Young, Shin Yong Chan, Cho Young Min, Kim Hongbeom, Kwon Wooil, Han Young Min, Kim Sun-Whe

机构信息

Department of Surgery and Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea.

Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.

出版信息

Ann Surg Treat Res. 2016 Jul;91(1):51-5. doi: 10.4174/astr.2016.91.1.51. Epub 2016 Jun 30.

DOI:10.4174/astr.2016.91.1.51
PMID:27433465
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4942539/
Abstract

Focal nesidioblastosis is a rare cause of endogenous hyperinsulinemic hypoglycemia in adults. Because it is difficult to localize and detect with current imaging modalities, nesidioblastosis is challenging for biliary-pancreatic surgeons. (68)Gallium-DOTA-D-Phe(1)-Tyr(3)-octreotide PET scanning and (111)indium-pentetreotide diethylene triamine pentaacetic acid octreotide scanning may be superior to conventional imaging modalities in determining the localization of nesidioblastosis. We report the successful surgical treatment of a 54-year-old woman with focal hyperplasia of the islets of Langerhans, who experienced frequent hypoglycemic symptoms and underwent various diagnostic examinations with different results.

摘要

局灶性胰岛细胞增殖症是成人内源性高胰岛素血症性低血糖症的罕见病因。由于目前的成像方式难以定位和检测到它,胰岛细胞增殖症对肝胆胰外科医生来说具有挑战性。(68)镓 - DOTA - D - 苯丙氨酸(1) - 酪氨酸(3) - 奥曲肽正电子发射断层扫描和(111)铟 - 喷替酸奥曲肽扫描在确定胰岛细胞增殖症的定位方面可能优于传统成像方式。我们报告了一例成功接受手术治疗的54岁女性,她患有朗格汉斯胰岛局灶性增生,频繁出现低血糖症状,并接受了各种诊断检查,结果各异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dff2/4942539/02ffb9e276f3/astr-91-51-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dff2/4942539/a23de17a4271/astr-91-51-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dff2/4942539/ff95ae4a1557/astr-91-51-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dff2/4942539/98fff66cc906/astr-91-51-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dff2/4942539/f53289e58589/astr-91-51-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dff2/4942539/02ffb9e276f3/astr-91-51-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dff2/4942539/a23de17a4271/astr-91-51-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dff2/4942539/ff95ae4a1557/astr-91-51-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dff2/4942539/98fff66cc906/astr-91-51-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dff2/4942539/f53289e58589/astr-91-51-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dff2/4942539/02ffb9e276f3/astr-91-51-g005.jpg

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