A Case of Somatostatinoma which Manifested as Insulinoma when Metastasized to the Liver / 대한내분비학회지
Journal of Korean Society of Endocrinology
; : 670-676, 1998.
Article
em Ko
| WPRIM
| ID: wpr-104307
Biblioteca responsável:
WPRO
ABSTRACT
We report a case of somatostatinoma, which manifested as insulinoma after liver metastasis. A 74-year-old man suffered from diabetes mellitus and jaundice. The abdominal CT scan of this patient showed a mass in the pancreas head, which obstructed biliary duct. He underwent Whipples procedure. Immunohistochemical staining of postoperative specimen disclosed that this tumor was strongly positive for somatostatin. After 4 months, follow up CT scan showed multiple metastatic lesions in the liver. We performed transarterial chemoinfusion two times, but the response was disappointing. After 2 months, he suffered from altered mentality, which was relieved by intake of sugar. Biochemical laboratory findings and immunohistochemical staining of liver biopsy disclosed that the metastatic lesion in this patient was insulinoma. We performed embolization of hepatic artery with gelform. The biochemical response was dramatic, but he died of septic shock, which was caused by gas forming liver abscess. In summary, we report a case of somatostatinoma which manifested as insulinoma after metastasis to the liver.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Pâncreas
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Choque Séptico
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Somatostatinoma
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Biópsia
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Somatostatina
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Tomografia Computadorizada por Raios X
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Seguimentos
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Diabetes Mellitus
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Cabeça
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Artéria Hepática
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Aged
/
Humans
Idioma:
Ko
Revista:
Journal of Korean Society of Endocrinology
Ano de publicação:
1998
Tipo de documento:
Article