发作性心悸、震颤、多汗伴体重增加——胰岛素瘤定位诊断
Palpitation, tremble, sweaty, and weight gain Localization of insulinoma
摘要
报道1例47岁女性，因发作性心悸、手抖、多汗伴体重增加就诊定性诊断明确的胰岛素瘤患者，CT扫描未见肿瘤，MRI定位于胰腺颈体部，血管造影定位肿瘤部位与MRI类似，ASVS检查提示肿瘤定位于胰腺头部。通过MRI、CT血管成像、ASVS结果分析以及动脉造影结果证实该肿瘤定位于胰腺颈体部，手术仅需切除肿瘤，无需胰腺头部手术。患者接受机器人辅助手术切除胰腺胰岛素瘤，手术后血糖恢复正常．随访无复发。
A 47 years old＇female presented with palpitation, tremble, sweaty, and weight gain. Insulinoma was suspended and confirmed with hypoglycemia caused by endogenous hyperinsulinemia. The CT scan was failed to localize the tumor. MRI and ASVS showed inconsistent results. A nutrient arterial was found by arterial angiography and explained the different results. Robert assistant surgery successfully removed the tumor and the patient was well recovered.
出处
《中华内分泌代谢杂志》
CAS
CSCD
北大核心
2016年第8期696-699,共4页
Chinese Journal of Endocrinology and Metabolism
关键词
胰岛素瘤
定位诊断
动脉钙刺激肝静脉采血
动脉造影
Insulinoma
Localization diagnosis
Selective Arterial Calcium Stimulation hepatic VenousSampling
Arterial angiography
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