Localização de insulinoma pela injeção seletiva intra-arterial de cálcio
Insulinomas are rare endocrine tumors with an estimated incidence of 1(one) per million. Optimal therapy for all islet tumors of the pancreas is curative surgical resection. However, previous reports have show that, in the absence of preoparative localization, insulinoma may not be found intraoperat...
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Colégio Brasileiro de Cirurgiões
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Series: | Revista do Colégio Brasileiro de Cirurgiões |
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Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912001000400016&lng=en&tlng=en |
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author | Gaudêncio Espinosa Célio Eduardo Henrici Jesus Antônio de Carvalho Abreu |
author_facet | Gaudêncio Espinosa Célio Eduardo Henrici Jesus Antônio de Carvalho Abreu |
author_sort | Gaudêncio Espinosa |
collection | DOAJ |
description | Insulinomas are rare endocrine tumors with an estimated incidence of 1(one) per million. Optimal therapy for all islet tumors of the pancreas is curative surgical resection. However, previous reports have show that, in the absence of preoparative localization, insulinoma may not be found intraoperatively in about 20% of patients. With current imaging technology, including serial computed tomography (CT), magnetic resonance imaging (MRI) and ultrasonography, localization of insulinomas less than 2cm remains inadequate. This case report shows that selective intraarterial calcium injection with hepatic venous sampling for insulin levels measured is a efficient technique for the localization of insulinomas. |
first_indexed | 2024-12-22T04:14:38Z |
format | Article |
id | doaj.art-ff67d0ea5a2b48cdabcb9958b27e9f10 |
institution | Directory Open Access Journal |
issn | 1809-4546 |
language | English |
last_indexed | 2024-12-22T04:14:38Z |
publisher | Colégio Brasileiro de Cirurgiões |
record_format | Article |
series | Revista do Colégio Brasileiro de Cirurgiões |
spelling | doaj.art-ff67d0ea5a2b48cdabcb9958b27e9f102022-12-21T18:39:26ZengColégio Brasileiro de CirurgiõesRevista do Colégio Brasileiro de Cirurgiões1809-454628430730910.1590/S0100-69912001000400016S0100-69912001000400016Localização de insulinoma pela injeção seletiva intra-arterial de cálcioGaudêncio Espinosa0Célio Eduardo HenriciJesus Antônio de Carvalho Abreu1Universidade Federal do Rio de JaneiroUniversidade Federal do Rio de JaneiroInsulinomas are rare endocrine tumors with an estimated incidence of 1(one) per million. Optimal therapy for all islet tumors of the pancreas is curative surgical resection. However, previous reports have show that, in the absence of preoparative localization, insulinoma may not be found intraoperatively in about 20% of patients. With current imaging technology, including serial computed tomography (CT), magnetic resonance imaging (MRI) and ultrasonography, localization of insulinomas less than 2cm remains inadequate. This case report shows that selective intraarterial calcium injection with hepatic venous sampling for insulin levels measured is a efficient technique for the localization of insulinomas.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912001000400016&lng=en&tlng=enInsulinoma localizationInsulinoma diagnosisEndocrine tumorsAngiography |
spellingShingle | Gaudêncio Espinosa Célio Eduardo Henrici Jesus Antônio de Carvalho Abreu Localização de insulinoma pela injeção seletiva intra-arterial de cálcio Revista do Colégio Brasileiro de Cirurgiões Insulinoma localization Insulinoma diagnosis Endocrine tumors Angiography |
title | Localização de insulinoma pela injeção seletiva intra-arterial de cálcio |
title_full | Localização de insulinoma pela injeção seletiva intra-arterial de cálcio |
title_fullStr | Localização de insulinoma pela injeção seletiva intra-arterial de cálcio |
title_full_unstemmed | Localização de insulinoma pela injeção seletiva intra-arterial de cálcio |
title_short | Localização de insulinoma pela injeção seletiva intra-arterial de cálcio |
title_sort | localizacao de insulinoma pela injecao seletiva intra arterial de calcio |
topic | Insulinoma localization Insulinoma diagnosis Endocrine tumors Angiography |
url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912001000400016&lng=en&tlng=en |
work_keys_str_mv | AT gaudencioespinosa localizacaodeinsulinomapelainjecaoseletivaintraarterialdecalcio AT celioeduardohenrici localizacaodeinsulinomapelainjecaoseletivaintraarterialdecalcio AT jesusantoniodecarvalhoabreu localizacaodeinsulinomapelainjecaoseletivaintraarterialdecalcio |