HemeOnc

Insulinoma

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Insulinoma, Pancreatic Islet Cell Tumor

  • Symptoms and Signs
  1. See Hypoglycemia
  • Radiology (Localize tumor)
  1. CT Abdomen
  2. Ultrasound Pancreas
  • Management
  1. See Hypoglycemia
  2. Surgical excision
  3. Medical Therapy (If surgery delayed or ineffective)
    1. Diazoxide 300-1200 mg/day IV/PO PLUS a Diuretic
    2. Octreotide 150-150 ug/day divided doses SC