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Published in: Abdominal Radiology 2/2017

01-02-2017 | Pictorial Essay

Cross sectional and nuclear medicine imaging of pancreatic insulinomas

Authors: Sampanna Jung Rayamajhi, Jeff Lee, Bhagwant Rai Mittal, Aaron Craig Jessop, Beth Chasen, Priya Bhosale

Published in: Abdominal Radiology | Issue 2/2017

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Abstract

Insulinomas are rare neuroendocrine tumors which occur predominantly in the pancreas. Although majority of the insulinomas are benign, over-secretion of insulin by the tumor leads to debilitating hypoglycemic symptoms. The diagnosis is based on clinical and biochemical findings. After the diagnosis is made, the principal challenge lies in locating the tumor because most tumors are solitary and small in size. Locating the tumor is of paramount importance as complete surgical excision is the only curative treatment, and incomplete resection leads to persistence of symptoms. Different preoperative and intraoperative imaging techniques have been used with varying success rates for the insulinoma imaging. Besides localizing the tumor, imaging also helps to guide biopsy, detect metastatic lesions, and perform image-guided therapeutic procedures. This review will discuss the role of different Cross sectional and nuclear medicine imaging modalities in insulinomas.
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Metadata
Title
Cross sectional and nuclear medicine imaging of pancreatic insulinomas
Authors
Sampanna Jung Rayamajhi
Jeff Lee
Bhagwant Rai Mittal
Aaron Craig Jessop
Beth Chasen
Priya Bhosale
Publication date
01-02-2017
Publisher
Springer US
Published in
Abdominal Radiology / Issue 2/2017
Print ISSN: 2366-004X
Electronic ISSN: 2366-0058
DOI
https://doi.org/10.1007/s00261-016-0904-7

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