Preoperative Detection of Insulinomas: Two Case Reports
Author Information
Author(s): Ozkaya Mesut, Yuzbasioglu Mehmet Fatih, Koruk Irfan, Cakal Erman, Sahin Mustafa, Cakal Basak
Primary Institution: Sutcu Imam University Medical Faculty, Kahramanmaras, Turkey
Hypothesis
Accurate preoperative detection and localization of insulinomas is essential for the appropriate selection of candidates for surgery.
Conclusion
Endoscopic ultrasonography (EUS) successfully detected insulinomas before surgery in both patients, while other imaging methods did not aid in localization.
Supporting Evidence
- Insulinoma is the most common endocrine tumor of the pancreas.
- Endoscopic ultrasonography (EUS) has a sensitivity of 95% in skilled operators.
- Both patients were asymptomatic postoperatively with no hypoglycemia on repeat fasting.
Takeaway
Doctors used a special ultrasound to find tumors in two patients' pancreases before surgery, and both patients felt better afterward.
Methodology
Endoscopic ultrasonography (EUS) was used for tumor localization, along with other imaging methods like TAUSG and CT scans.
Limitations
The study is based on only two case reports, limiting the generalizability of the findings.
Participant Demographics
Two female patients aged 43 and 62, with varying body mass indices.
Digital Object Identifier (DOI)
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