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Case ReportOpen Access
lnsulinoma in Childhood
Panamonta O 
,
Areemit S ,
Srinakarin J ,
Puapairoj A
,
Areemit S ,
Srinakarin J ,
Puapairoj A A 9-year-old boy with convulsions is herein described. He was diagnosed and treated for
epilepsy and insufficient adrenal function for four years with no response. Hypoglycemia from
hyperinsulinism was found and the source of the hyperinsulinism was a tumor of the tail of the
pancreas -located by computerized tomographic scan and magnetic resonance imaging. Distal
pancreatectomy was performed with good results. Histology of the tumor showed islet cell
tumors with capsular invasion. For this type of patient, long-term follow-up should include:
prevention of metastasis or recurrence, and testing for multiple endocrine neoplasia type I.
Key word : Insulinoma, Islet Cell Adenoma, Hypoglycemia, Pancreatic Tumor, Hyperinsulinism
epilepsy and insufficient adrenal function for four years with no response. Hypoglycemia from
hyperinsulinism was found and the source of the hyperinsulinism was a tumor of the tail of the
pancreas -located by computerized tomographic scan and magnetic resonance imaging. Distal
pancreatectomy was performed with good results. Histology of the tumor showed islet cell
tumors with capsular invasion. For this type of patient, long-term follow-up should include:
prevention of metastasis or recurrence, and testing for multiple endocrine neoplasia type I.
Key word : Insulinoma, Islet Cell Adenoma, Hypoglycemia, Pancreatic Tumor, Hyperinsulinism
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