“…We questioned whether specific clinical and biochemical data might point toward a preoperative diagnosis of NIPHS rather than a pathohistological diagnosis. From the literature, 4,8,9,11,12,[17][18][19][20][21][22][23][24][25][26][28][29][30][31][32][33][34][35][36][37][38] we estimated a mean age of 44 years in 64 patients with NIPHS compared with 41 years in our series of 11 patients and 49 years in our 70 patients with insulinoma. NIPHS has been reported to occur throughout the lifespan from 11 to 84 years and there was a female preponderance (39 women, 25 men).…”