The insulinoma as a diagnostically and therapeutically challenging neoplasm
| Main Authors: | Oleksa, Paulina, Sobczyk, Mateusz, Wójcik, Piotr, Żuraw, Daria, Rogowska, Monika, Słaboń, Małgorzata |
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| Format: | Article Journal |
| Terbitan: |
, 2021
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| Online Access: |
https://zenodo.org/record/5526709 |
Daftar Isi:
- Oleksa Paulina, Sobczyk Mateusz, Wójcik Piotr, Żuraw Daria, Rogowska Monika, Słaboń Małgorzata. The insulinoma as a diagnostically and therapeutically challenging neoplasm. Journal of Education, Health and Sport. 2021;11(9):520-525. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2021.11.09.067 https://apcz.umk.pl/JEHS/article/view/JEHS.2021.11.09.067 https://zenodo.org/record/5526709 The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019. © The Authors 2021; This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 15.09.2021. Revised: 20.09.2021. Accepted: 24.09.2021. The insulinoma as a diagnostically and therapeutically challenging neoplasm Paulina Oleksa1, Mateusz Sobczyk1, Piotr Wójcik1, Daria Żuraw1, Monika Rogowska1, Małgorzata Słaboń1, Paulina Oleksa1, ORCID: 0000-0002-3474-6156, gp.oleksa@gmail.com Mateusz Sobczyk1, ORCID: 0000-0001-8690-2387, m.sobczyk1777@gmail.com Piotr Wójcik1, ORCID: 0000-0002-9078-3701, piotrek1444@gmail.com Daria Żuraw1, ORCID: 0000-0003-0815-4322, dariazuraw19@gmail.com Monika Rogowska1, ORCID: 0000-0002-9617-7307, m.rogowska98@gmail.com Małgorzata Słaboń1, ORCID: 0000-0003-1627-8878, malgorzata.slabon17@gmail.com Affiliations: 1Students’ Scientific Group at the Department of Epidemiology and Clinical Research Methodology, Medical University of Lublin, Radziwiłłowska 11, 20-080 Lublin, Poland Abstract: Introduction and purpose An insulinoma is the most common neuroendocrine tumor of a pancreas. This tumor produces insulin, which in excess causes hypoglycemic attacks, provoked by hunger or physical effort. Delays in diagnostic processes of the insulinoma are associated with the misattribution of symptoms to cardiac, psychiatric or neurological disorders. Thus, the suitable diagnostic procedures play a significant role as they ensure quick introduction of treatment. The purpose of this work is to evaluate advances in demanding diagnostically and therapeutically insulinoma. A brief description of the state of knowledge The used method was a literature review. The basic and the most common method of treating the insulinoma is a surgery. Due to this, finding precise location of the tumor preoperatively is crucial. In the diagnostics of the insulinoma both basic CT and MRI contrast enhanced and an endoscopic ultrasound, a selective arterial calcium stimulation test and the latest molecular imaging are used. In treatment process not only traditional surgical excisions were performed, but also laparoscopic and robotic surgeries turned out to be success. Conclusions Summing up, the insulinoma is a neoplasm with a wide range of therapeutic and diagnostic solutions, thanks to the progress that has been made in recent years. Although there are many difficulties on a diagnostic path of the insulinoma, new solutions and appropriate aproach make this process easier. Nevertheless, doctor’s diagnostic vigilance is essential, because consideration in the differential diagnosis the insulinoma is an essential step and without this step any further actions can be taken. Key words: Neuroendocrine pancreatic tumor; diagnosis, molecular imaging; treatment; robotic surgery