Diagnosis and treatment of ‘insulinoma’

  • Stefan S. Fajans
  • Aaron I. Vinik
Part of the Cancer Treatment and Research book series (CTAR, volume 20)

Abstract

Insulin-secreting pancreatic islet cell tumors and other forms of organic hyperinsulinism causing fasting and postprandial hypoglycemia are not common disorders that afflict a large portion of any physician’s practice. The fact of the matter is that they are rare disorders. However, endocrinologists continue to see patients by referral in whom the proper diagnosis had been delayed because of a mistaken diagnosis of functional hypoglycemia or other disorders followed by inappropriate therapy for years. The advent of more precise definitions of pancreatic islet cell physiology and of expanded techniques for the study in man, have facilitated a more dependable, simpler and sometimes earlier diagnosis of ‘insulinoma’ and other forms of organic hyperinsulinism. Further, advances have been made in the pre-operative localization of insulin-producing islet cell tumors and in the preoperative differentiation of islet cell tumors from other forms of organic hyperinsulinism. In this contribution we will omit a discussion of the spontaneous hypoglycemias which occur in infancy and childhood.

Keywords

Fatigue Carbohydrate Arginine Glucocorticoid Alanine 

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© Martinus Nijhoff Publishers, Boston 1984

Authors and Affiliations

  • Stefan S. Fajans
  • Aaron I. Vinik

There are no affiliations available

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