Insulinoma: Metastatic Recurrence 38 Years Following Initial Diagnosis in Pregnancy
Christopher A Preston,
Nirupa Sachithanandan,
Ie-Wen Sim
et al.
Abstract:A case of recurrent insulinoma spanning 4 decades is described. Following a delayed diagnosis, hyperinsulinemic hypoglycemia was confirmed in a 24-year-old woman during early pregnancy. Initial surgery, culminating in subtotal pancreatectomy, was noncurative. A 1-cm insulinoma was subsequently resected from the head of the pancreas postpartum, with postoperative resolution of hypoglycemia. However, 32 years later, the patient experienced a recurrence of hypoglycemic symptoms. Eventually, a subcentimeter extrap… Show more
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