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Robotic Enucleation of an Intra-Pancreatic Insulinoma in the Pancreatic Head
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Giant malignant insulinoma

Dimitrios Karavias1, Ioannis Habeos2, Ioannis Maroulis1

  • 1Department of Surgery, University Hospital of Patras, Rion, Greece.

Annals of Surgical Treatment and Research
|May 12, 2015
PubMed

Insulinomas are the most common pancreatic neuroendocrine tumors. Most insulinomas are benign, small, intrapancreatic solid tumors and only large tumors have a tendency for malignancy. Most patients present with symptoms of hypoglycemia that are relieved with the administration of glucose. We herein present the case of a 75-year-old woman who presented with an acute hypoglycemic episode. Subsequent laboratory and radiological studies established the diagnosis of a 17-cm malignant insulinoma, with local invasion to the left kidney, lymph node metastasis, and hepatic metastases. Patient symptoms, diagnostic and imaging work-up and surgical management of both the primary and the metastatic disease are reviewed.

Keywords:
Giant tumorInsulinomaPNET

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