Diagnosis and Insulinoma Management Approach

Ida Ayu Praba Mahimadevi ^[2] | Ketut Suastika ^[3]

Abstract: The most common pancreatic - producing neuroendocrine tumor is insulinoma, with an insidence estimation 0.4 % in the population and recorder for 70 % to 75 % caused hyperinsulinemia. Some of these findings like palpitations, tremors, diaphoresis are frequently seen as autonomic symptoms, in the other hand, the visual disturbances, seizure, coma, even more the personality changes oftenly seen in neuroglycopenic symptomps. According to standard endocrine test specially 72 hours fasting test can established the suspected case�s diagnosis. To find resource secretion of pathological insulin can use procedures non invasive imaging, like CT or MRI when the diagnosis of insulinoma has been established. Surgical removal of the tumor is the definitive treatment and laparoscopic surgery for localized lesions is increasingly reported. For unresectable tumor, preoperative preparation or for unsuitable candidates for surgery, medical treatment is the choice. The purpose of this article is to know more about diagnosis and management of insulinoma.

Keywords: Insulinoma, Multiple Endocrine Neoplasia, hypoglycemia, Neuroendocrine Pancreatic Tumor

Edition: Volume 8 Issue 10, October 2019,

Pages: 491 - 496