Giant pancreatic insulinoma

• Autores: Revoredo Rego, Fernando, De Vinatea de Cárdenas, José, Reaño Paredes, Gustavo, Villanueva Alegre, Luis, Kometter Barrios, Fritz, Tang Sing, Jorge, Uribe León, Mónica, Arenas Gamio, José
• Formato: artículo
• Fecha de Publicación: 2016
• Institución: Universidad Nacional Mayor de San Marcos
• Repositorio: Revistas - Universidad Nacional Mayor de San Marcos
• Lenguaje: español
• OAI Identifier: oai:ojs.csi.unmsm:article/11555
• Enlace del recurso: https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/11555
• Nivel de acceso: acceso abierto
• Materia: Insulinoma; Gigante; Páncreas; Neoplasias; Tumores Neuroendocrinos.; Giant; Pancreatic Neoplasms; Neuroendocrine Tumors.

Insulinomas are the most common pancreatic neuroendocrine tumors and are typically small and benign. Giant pancreatic insulinomas are rare pancreatic tumors. We report a 67 year old man who presented with signs and symptoms of hypoglycemia. Subsequent laboratory and radiologic studies established the diagnosis of a 13.5 cm insulinoma. The patient underwent a pancreatoduodenectomy. Despite the size, neither local invasion nor metastatic disease was identified on pathological evaluation. In addition to describing the clinical presentation and operative findings, localization and management options of insulinomas are reviewed.