Single Institutional Experiences of Insulinoma
Journal of the Korean Surgical Society
;
: 128-132, 2007.
Artículo
en Coreano
| WPRIM
| ID: wpr-44389
ABSTRACT
PURPOSE:
We present our experiences of pancreatic insulinoma among the functioning neuroendocrine neoplasm of the pancreas, to review the natural history and suggest proper management.METHODS:
From June 1990 to August 2006, patients with diagnosis of pancreatic insulinoma were retrospectively reviewed.RESULTS:
Thirteen patients (5 men and 8 women) with median age of 42 years (range, 12~68 years) were investigated. One patient (12%) with pancreatic insulinoma was MEN 1. Intraoperative ultrasound scan (sensitivity, 88%) was the most powerful modality for tumor localization. Sixteen neoplasms with median tumor size 1 cm (range, 0~3 cm) were found. Ten neoplasm (62%) were located in the heads/ necks of the pancreas. Six neoplasm (38%) were located in the tails. Five neoplasm (31%) were located around the neck areas near the SMV or PV. Twelve patients (92%) underwent enucleation, and two patients (15%) underwent distal pancreatectomy with splenectomy. 100% of patients with pancreatic insulinoma have survived and the overall disease free 10-year survival was found to be about 85.7%.CONCLUSION:
Exact localization of tumor by intraoperative ultrasound and effective surgical removal can be significantly beneficial for good prognosis.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Páncreas
/
Pancreatectomía
/
Pronóstico
/
Esplenectomía
/
Estudios Retrospectivos
/
Ultrasonografía
/
Neoplasia Endocrina Múltiple Tipo 1
/
Historia Natural
/
Diagnóstico
/
Insulinoma
Tipo de estudio:
Estudio diagnóstico
/
Estudio observacional
/
Estudio pronóstico
Límite:
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Journal of the Korean Surgical Society
Año:
2007
Tipo del documento:
Artículo
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