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Clinical and Translational Oncology

, Volume 15, Issue 9, pp 725–731 | Cite as

Management of malignant insulinoma

  • J. C. Ferrer-García
  • V. Iranzo González-CruzEmail author
  • S. Navas-DeSolís
  • M. Civera-Andrés
  • C. Morillas-Ariño
  • Á. Merchante-Alfaro
  • C. Caballero-Díaz
  • C. Sánchez-Juan
  • C. Camps Herrero
Research Article

Abstract

Aim

Malignant insulinoma is an infrequent functional endocrine tumor of the pancreas. Adequate therapy is a demanding challenge for oncologists and endocrinologists.

Objective

To evaluate the results of multidisciplinary management of malignant insulinoma.

Materials and methods

Retrospective review of patients with malignant insulinoma treated from 1995 to 2011.

Results

Seven patients with malignant insulinoma were included: four males and three females; median age was 61.8 years (range 37–78). Six tumors were sporadic and one was diagnosed in a patient with a type 1 multiple endocrine neoplasia (MEN-1). Surgery was performed in six cases and one patient was considered unresectable. Hypoglycemias persisted in all cases and somatostatin analogs, glucocorticoids and diazoxide were used. Two patients received everolimus. Other techniques were chemoembolization and internal radiation therapy with yttrium-90. Successful liver transplant was done in the patient with MEN-1.

Conclusion

Hypoglycemia management is complex and requires multiple therapies. Further evaluations will be necessary to determine the best treatment.

Keywords

Insulinoma Neuroendocrine pancreatic tumor Hypoglycemia Islet cell tumors 

Notes

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© Federación de Sociedades Españolas de Oncología (FESEO) 2013

Authors and Affiliations

  • J. C. Ferrer-García
    • 1
  • V. Iranzo González-Cruz
    • 2
    Email author
  • S. Navas-DeSolís
    • 3
  • M. Civera-Andrés
    • 4
  • C. Morillas-Ariño
    • 5
  • Á. Merchante-Alfaro
    • 1
  • C. Caballero-Díaz
    • 2
  • C. Sánchez-Juan
    • 1
  • C. Camps Herrero
    • 2
  1. 1.Department of Endocrinology and NutritionConsorcio Hospital General Universitario de ValenciaValenciaSpain
  2. 2.Department of OncologyConsorcio Hospital General Universitario de ValenciaValenciaSpain
  3. 3.Department of Endocrinology and NutritionHospital Universitario La FeValenciaSpain
  4. 4.Department of Endocrinology and NutritionHospital Clínico UniversitarioValenciaSpain
  5. 5.Department of Endocrinology and NutritionHospital Universitario Doctor PesetValenciaSpain

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