CASE-REPORT - LOCALIZATION OF OCCULT INSULINOMA BY INTRAARTERIAL STIMULATION WITH CALCIUM AND VENOUS SAMPLING TECHNIQUE

被引：7

作者：

KUNG, AWC

CHAN, FL

TAM, SCF

LAM, KSL

机构：

[1] UNIV HONG KONG,DEPT CLIN BIOCHEM,HONG KONG,HONG KONG

[2] QUEEN MARY HOSP,DEPT DIAGN RADIOL,HONG KONG,HONG KONG

来源：

CLINICAL RADIOLOGY | 1992年 / 46卷 / 01期

关键词：

D O I：

10.1016/S0009-9260(05)80036-4

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Hypoglycaemia as a result of insulin secreting tumours can be treated effectively by surgery. However pre-operative localization is desirable as the majority of these tumours are small and in 20% of the cases may be multiple. We describe a 1 cm insulinoma being localized pre-operatively by selective arterial stimulation with calcium and venous sampling for insulin. This technique is sensitive and relatively non-invasive. We believe that it is potentially very valuable in pre-operative localization of occult insulinomas.

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页码：55 / 56

页数：2

相关论文

共 12 条

[1] THE ULTRASONIC-DETECTION OF INSULINOMAS DURING SURGICAL EXPLORATION OF THE PANCREAS [J].

ANGELINI, L ;

BEZZI, M ;

TUCCI, G ;

LIRICI, MM ;

CANDIANI, F ;

RUBALTELLI, L ;

TREMOLADA, C ;

TAMBURRANO, G ;

FEGIZ, G .

WORLD JOURNAL OF SURGERY, 1987, 11 (05) :642-647

[2] STIMULATION OF INSULIN-SECRETION BY A RAPID INTRAVENOUS CALCIUM INFUSION IN PATIENTS WITH BETA-CELL NEOPLASMS OF THE PANCREAS [J].

BRUNT, LM ;

VELDHUIS, JD ;

DILLEY, WG ;

FARNDON, JR ;

SANTEN, RJ ;

LEIGHT, GS ;

WELLS, SA .

JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1986, 62 (01) :210-216

[3] GASTRINOMAS - LOCALIZATION BY MEANS OF SELECTIVE INTRAARTERIAL INJECTION OF SECRETIN [J].

DOPPMAN, JL ;

MILLER, DL ;

CHANG, R ;

MATON, PN ;

LONDON, JF ;

GARDNER, JD ;

JENSEN, RT ;

NORTON, JA .

RADIOLOGY, 1990, 174 (01) :25-29

[4]

DOPPMAN JL, 1989, GASTROENTEROL CLIN N, V18, P793

[5] INSULINOMAS - LOCALIZATION WITH SELECTIVE INTRAARTERIAL INJECTION OF CALCIUM [J].

DOPPMAN, JL ;

MILLER, DL ;

CHANG, R ;

SHAWKER, TH ;

GORDEN, P ;

NORTON, JA .

RADIOLOGY, 1991, 178 (01) :237-241

[6] INSULIN-PRODUCING ISLET CELL TUMORS [J].

FAJANS, SS ;

VINIK, AI .

ENDOCRINOLOGY AND METABOLISM CLINICS OF NORTH AMERICA, 1989, 18 (01) :45-74

[7] BENIGN PANCREATIC INSULINOMA - PREOPERATIVE AND INTRAOPERATIVE SONOGRAPHIC LOCALIZATION [J].

GORMAN, B ;

CHARBONEAU, JW ;

JAMES, EM ;

READING, CC ;

GALIBER, AK ;

GRANT, CS ;

VANHEERDEN, JA ;

TELANDER, RL ;

SERVICE, FJ .

AMERICAN JOURNAL OF ROENTGENOLOGY, 1986, 147 (05) :929-934

[8] CURATIVE RESECTION OF MULTIPLE GASTRINOMAS AIDED BY SELECTIVE ARTERIAL SECRETIN INJECTION TEST AND INTRAOPERATIVE SECRETIN TEST [J].

IMAMURA, M ;

TAKAHASHI, K ;

ISOBE, Y ;

HATTORI, Y ;

SATOMURA, K ;

TOBE, T .

ANNALS OF SURGERY, 1989, 210 (06) :710-718

[9] USEFULNESS OF SELECTIVE ARTERIAL SECRETION INJECTION TEST FOR LOCALIZATION OF GASTRINOMA IN THE ZOLLINGER-ELLISON SYNDROME [J].

IMAMURA, M ;

MINEMATSU, S ;

SUZUKI, T ;

TAKAHASHI, K ;

SHIMADA, Y ;

TOBE, T ;

ADACHI, H ;

NAITO, M ;

AZUMA, T .

ANNALS OF SURGERY, 1987, 205 (03) :230-239

[10] CALCIUM INFUSION - NEW PROVOCATIVE TEST FOR INSULINOMAS [J].

KAPLAN, EL ;

RUBENSTEIN, AH ;

EVANS, R ;

LEE, CH ;

KLEMENTSCHITSCH, P .

ANNALS OF SURGERY, 1979, 190 (04) :501-507