Metastatic malignant insulinoma: debulking for palliation of symptoms.
This unusual case is that of a patient who had recent onset of sudden severe hypoglycemic symptoms. CT scan and arteriography demonstrated a large, widely metastatic tumor of the pancreas involving liver, regional lymph nodes, and the superior mesenteric vein. Tissue diagnosis was obtained by percutaneous needle biopsy of a liver metastasis. The patient had to be maintained on a continuous D10W drip until a successful debulking total pancreatectomy was done. She is currently at home on pancreatic enzyme replacement.
Rusher
A H
AH
Area Health Education Center, Jonesboro, Arkansas.
Henson
K
K
D005260:Female; D006801:Humans; D007328:Insulin / Q000097:blood; D007340:Insulinoma / Q000097:blood / Q000556:secondary* / Q000601:surgery*; D008875:Middle Aged; D010166:Palliative Care / Q000379:methods*; D010180:Pancreatectomy; D010190:Pancreatic Neoplasms / Q000097:blood / Q000601:surgery*
D007328:Insulin