Total Pageviews

Wednesday, 12 June 2024

CASE 770: INSULINOMA (PNET, PANCREATIC NEUROENDOCRINE TUMOR), Dr PHAN THANH HẢI, Dr TRẦN THỊ TRÚC PHƯƠNG , MEDIC MEDICAL CENTER, HCMC, VIETNAM.


A 66 year-old diabetic man with hypoglicemic crisis after meal 3-4 hours, Whipple's triad positive.

Lab data: FPG low, C-peptid (fasting) elevated




Ultrasound detected a  # 20#6.5mm mass at the pancreatic tail and some hepatic cyts.


.


Cystic lesion of the pancreas tail # 2.6x2.2 mm with Doppler sign.





MSCT confirmed a 32x20mm PNET at the tail of pancreas: tissue density, highly captured contrast media.



Histoimmunopathologic stainning was a pancreatic neuroendocrine tumor [insulinoma].


References:










No comments :