胰岛素瘤：一种可通过计算机断层扫描引导下乙醇-碘油注射治疗的复发性胰腺肿瘤。

Insulinoma: A Recurrent Pancreatic Tumor Amendable to Computed Tomography-Guided Ethanol-Lipiodol Injection.

作者信息

Zaver Himesh B, Alnahhal Khaled I, Ghoz Hassan, Paz-Fumagalli Ricardo, Raimondo Massimo, Lukens Frank J

机构信息

Department of Internal Medicine, Mayo Clinic, Jacksonville, FL.

Division of Vascular Surgery, Mayo Clinic, Jacksonville, FL.

出版信息

ACG Case Rep J. 2021 Feb 26;8(2):e00539. doi: 10.14309/crj.0000000000000539. eCollection 2021 Feb.

DOI:10.14309/crj.0000000000000539

PMID:33654702

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7909311/

Abstract

Insulinomas are rare, with an annual incidence of 1-4 people per mission. Insulinomas are the most common functioning endocrine neoplams of the pancreas. Endoscopic ultrasound has both diagnostic and therapeutic yield in undifferentiated pancreatic tumors. We present a case of a recurrent insulinoma, refractory to surgical and medical management diagnosed with endoscopic ultrasound. Our case uniquely conveys a successful, alternative approach to addressing symptomatic insulinomas refractory to surgical or medical management through computed tomography-guided percutaneous ethanol-lipiodol injection.

摘要

胰岛素瘤较为罕见，每年发病率为每百万人口中有1 - 4人患病。胰岛素瘤是胰腺最常见的功能性内分泌肿瘤。内镜超声检查在未分化胰腺肿瘤中兼具诊断和治疗价值。我们报告一例复发性胰岛素瘤病例，该病例对手术和药物治疗均无效，通过内镜超声得以确诊。我们的病例独特地展示了一种成功的替代方法，即通过计算机断层扫描引导下经皮乙醇 - 碘油注射来治疗对手术或药物治疗无效的有症状胰岛素瘤。