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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Main Authors: Gaudêncio Espinosa, Célio Eduardo Henrici, Jesus Antônio de Carvalho Abreu
Format: Article
Language:English
Published: Colégio Brasileiro de Cirurgiões
Series:Revista do Colégio Brasileiro de Cirurgiões
Subjects:
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.
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publisher Colégio Brasileiro de Cirurgiões
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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
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AT celioeduardohenrici localizacaodeinsulinomapelainjecaoseletivaintraarterialdecalcio
AT jesusantoniodecarvalhoabreu localizacaodeinsulinomapelainjecaoseletivaintraarterialdecalcio