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腹腔镜下射频消融胰腺胰岛素瘤。

LAPAROTOMIC RADIOFREQUENCY ABLATION OF PANCREATIC INSULINOMA.

机构信息

Hospital Evangélico de Cachoeiro de Itapemirim - Cachoeiro de Itapemirim (ES), Brazil.

出版信息

Arq Bras Cir Dig. 2024 Aug 30;37:e1819. doi: 10.1590/0102-6720202400026e1819. eCollection 2024.

Abstract

Insulinomas are rare neoplasms of the endocrine pancreas. Minimally invasive treatment options for insulinomas have gained prominence, replacing surgical resection due to its associated morbidity and mortality. Radiofrequency ablation (RFA) has emerged as a relevant treatment option. We present a case of a female patient with neuroglycopenic symptoms and severe hypoglycemic crises. The abdominal magnetic resonance imaging (MRI) showed a small nodular lesion in the pancreatic body. Laparotomy was performed, followed by RFA using a 15-mm active-tipped needle. No complications transpired, and no hypoglycemic episodes were observed during 12 months of follow-up.

摘要

胰岛素瘤是胰腺内分泌肿瘤中罕见的一种肿瘤。由于手术切除相关的发病率和死亡率较高,微创治疗选择已逐渐成为胰岛素瘤的主流治疗方法,其中包括射频消融术(radiofrequency ablation,RFA)。我们报告了一例女性患者,她有神经低血糖症状和严重的低血糖危象。腹部磁共振成像(MRI)显示胰体部有一个小结节性病变。进行了剖腹探查术,然后使用 15 毫米的活性尖端针进行 RFA。没有发生并发症,在 12 个月的随访中也没有观察到低血糖发作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8008/11363906/612fc7de3370/0102-6720-abcd-37-e1819-gf01.jpg

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