Insulinoomat Tampereen yliopistollisen sairaalan erityisvastuualueella 1980-2010
Uitto, Elina; Hannula, Päivi; Metso, Saara; Vornanen, Martine; Sand, Juhani; Jaatinen, Pia (2015)
2015
Duodecim 131 17
1598-1604
Lääketieteen yksikkö - School of Medicine
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:uta-201609222313
https://urn.fi/URN:NBN:fi:uta-201609222313
Tiivistelmä
METHODS: Retrospective analysis of insulinomas diagnosed in Tampere University Hospital.
RESULTS: We found 23 iNET cases corresponding to an incidence of 0.7/million/year. All had neuroglycopenic symptoms and 83% had autonomic ones. The median diagnostic delay (from first symptoms up to diagnosis) was 25 months. Preoperative imaging found the tumor in 87%. Twenty-one out of 22 patients who underwent surgery recovered completely.
CONCLUSIONS: Despite improved imaging the diagnostic delay of iNETs remained unchanged. Hypoglycemia and insulinoma should be considered as a cause of unspecific, symptomatic attacks.
RESULTS: We found 23 iNET cases corresponding to an incidence of 0.7/million/year. All had neuroglycopenic symptoms and 83% had autonomic ones. The median diagnostic delay (from first symptoms up to diagnosis) was 25 months. Preoperative imaging found the tumor in 87%. Twenty-one out of 22 patients who underwent surgery recovered completely.
CONCLUSIONS: Despite improved imaging the diagnostic delay of iNETs remained unchanged. Hypoglycemia and insulinoma should be considered as a cause of unspecific, symptomatic attacks.
Kokoelmat
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