换一批
换一批发作性心悸、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。
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abstracts[Summary] 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.
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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InsulinomaLocalization diagnosisSelective Arterial Calcium Stimulation hepatic Venous SamplingArterial angiography
栏目名称
瑞金病例
DOI
10.3760/cma.j.issn.1000-6699.2016.08.015
发布时间
2016-09-29
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