Presentation
Fasting hypoglycemia (less than 50 mg / dL).
Patient Data
Age: 75 years
Gender: Male
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/21521/annotated_viewer_json?lang=us"}
There is a hypervascular nodule in the head of the pancreas. Apart from age-related atrophic changes, the pancreas has otherwise normal appearances.
From the case:
Pancreatic neuroendocrine tumor (insulinoma)
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/21522/annotated_viewer_json?lang=us"}
Arterial phase: hypervascular nodule in the head of the pancreas.
Case Discussion
Insulinoma is a tumor that belongs to the group of neuroendocrine tumors of the pancreas, although rare, is the most common among them.
The well-differentiated pancreatic neuroendocrine tumors usually present as hypervascular nodules in the arterial phase examinations (CT and MRI).
The appearances are highly suggestive for a NET of the pancreas, insulinoma is a presumptive diagnosis based on the clinical history.
Unable to process the form. Check for errors and try again.