发作性心悸、震颤、多汗伴体重增加——胰岛素瘤定位诊断  

Palpitation, tremble, sweaty, and weight gain Localization of insulinoma

作　　者：苏颋为[1] 陈瑛[1] 赵红燕[1] 姜蕾[1] 吴志远[2] 王卫庆[1] 

机构地区：[1]上海交通大学医学院附属瑞金医院内分泌代谢病科、上海市内分泌代谢病研究所、上海市内分泌代谢病临床医学中心,200025 [2]上海交通大学医学院附属瑞金医院放射介入科,200025

出　　处：《中华内分泌代谢杂志》2016年第8期696-699,共4页Chinese Journal of Endocrinology and Metabolism

摘　　要：报道1例47岁女性，因发作性心悸、手抖、多汗伴体重增加就诊定性诊断明确的胰岛素瘤患者，CT扫描未见肿瘤，MRI定位于胰腺颈体部，血管造影定位肿瘤部位与MRI类似，ASVS检查提示肿瘤定位于胰腺头部。通过MRI、CT血管成像、ASVS结果分析以及动脉造影结果证实该肿瘤定位于胰腺颈体部，手术仅需切除肿瘤，无需胰腺头部手术。患者接受机器人辅助手术切除胰腺胰岛素瘤，手术后血糖恢复正常．随访无复发。A 47 years old＇female presented with palpitation, tremble, sweaty, and weight gain. Insulinoma was suspended and confirmed with hypoglycemia caused by endogenous hyperinsulinemia. The CT scan was failed to localize the tumor. MRI and ASVS showed inconsistent results. A nutrient arterial was found by arterial angiography and explained the different results. Robert assistant surgery successfully removed the tumor and the patient was well recovered.

关 键 词：胰岛素瘤 定位诊断 动脉钙刺激肝静脉采血 动脉造影 

分 类 号：R736.7[医药卫生—肿瘤]