Advertisement

Malignant Pancreatic Insulinoma with Large Hepatic Metastasis

Published:November 29, 2018DOI:https://doi.org/10.1016/j.amjmed.2018.11.015
      A tiny pancreatic tumor was the source of a grave problem. The patient, a 42-year old man, reported sudden fainting attacks when he presented to the emergency department of our institute. He had no similar history in the past. On examination, his vitals, including blood pressure, respiratory rate, and heart rate, were within normal limits.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The American Journal of Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Fidler JL
        • Fletcher JG
        • Reading CC
        • et al.
        Preoperative detection of pancreatic insulinomas on multiphasic helical CT.
        AJR Am J Roentgenol. 2003; 181: 775-780
        • Hruban RH
        • Pitman MB
        • Klimstra DS
        Tumors of the pancreas.
        in: Silverberg SG Sobin LH AFIP Atlas of Tumor Pathology. 4th ed. American Registry of Pathology, Washington, DC2007
        • Mansour JC
        • Chen H
        Pancreatic endocrine tumors.
        J Surg Res. 2004; 120: 139-161
        • Chung MJ
        • Choi BI
        • Han JK
        • Chung JW
        • Han MC
        • Bae SH
        Functioning islet cell tumor of the pancreas: localization with dynamic spiral CT.
        Acta Radiol. 1997; 38: 135-138
        • Semelka RC
        • Custodio CM
        • Cem Balci N
        • Woosley JT
        Neuroendocrine tumors of the pancreas: spectrum of appearances on MRI.
        J Magn Reson Imaging. 2000; 11: 141-148
        • Lepage C
        • Ciccolallo L
        • De Angelis R
        • Bouvier AM
        • Faivre J
        • Gatta G
        • EUROCARE working group
        European disparities in malignant digestive endocrine tumors survival.
        Int J Cancer. 2010; 126: 2928-2934
        • Mathur A
        • Gorden P
        • Libutti SK
        Insulinoma.
        Surg Clin North Am. 2009; 89: 1105-1121
        • Shin JJ
        • Gorden P
        • Libutti SK
        Insulinoma: pathophysiology, localization and management.
        Future Oncol. 2010; 6: 229-237