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Endocrine

, Volume 31, Issue 3, pp 238–241 | Cite as

Endoscopic ultrasonography (EUS) in the localization of insulinoma

  • Rasoul Sotoudehmanesh
  • Anooshirvan Hedayat
  • Nahid Shirazian
  • Shadi Shahraeeni
  • Sanaz Ainechi
  • Fatemeh Zeinali
  • Shadi Kolahdoozan
Original Paper

Abstract

Objective

Endoscopic ultrasonography has been accepted as a sensitive modality for preoperative tumor localization in pancreas. We have aimed to determine the performance characteristics of endoscopic ultrasonography in pancreatic insulinoma localization and evaluation of relationship between the tumor size and serum-c peptide level, lowest glucose level and insulin level.

Methods

Patients suspicious to insulinoma according to clinical and laboratory findings were included. Endoscopic ultrasonography was performed and if a tumor was identified, the patient was referred for surgery.

Results

A total of 52 patients (24 male and 28 female) with mean age of 42.4 years underwent EUS and 43 patients underwent surgery. In one patient, a tumor was identified both by transabdominal ultrasonography and abdominal CT scan. The overall sensitivity and accuracy of endoscopic ultrasonography for detection of insulinoma was 89.5% and 83.7% respectively. The sensitivity of endoscopic ultrasonography for detection of lesions in pancreatic head, body and tail was 92.6%, 78.9%, and 40.0%, respectively. There was no relationship between c-peptide, lowest blood glucose, insulin blood levels and tumor size in surgery.

Conclusion

EUS is an accurate method for detection of insulinoma. The accuracy depends on the location of the tumor and is greatest for tumors in the pancreatic head.

Keywords

Insulinoma Endosonography Sensitivity Surgery 

Notes

Acknowledgment

We thank Dr. Shahin Merat, Dr. Alireza Sajadi and Dr. Siavosh Nasseri-Moghaddam for their help to edit this article.

Funding: The authors declare that there is no conflict of interest that would prejudice the impartiality of this scientific work.

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Copyright information

© Humana Press Inc. 2007

Authors and Affiliations

  • Rasoul Sotoudehmanesh
    • 1
  • Anooshirvan Hedayat
    • 2
  • Nahid Shirazian
    • 3
  • Shadi Shahraeeni
    • 1
  • Sanaz Ainechi
    • 1
  • Fatemeh Zeinali
    • 1
  • Shadi Kolahdoozan
    • 1
  1. 1.Digestive Disease Research CenterMedical Sciences/University of Tehran, Shariati HospitalTehranIran
  2. 2.Department of SurgeryMedical Sciences/University of Tehran, Shariati HospitalTehranIran
  3. 3.Islamic Azad University, Tehran School of Medical SciencesTehranIran

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