INSULINOMA – CASE REPORT
Abstract:
Insulinoma is an insulin secreting tumour, developed from pancreatic ß islet cells,
characterized by the independent hypersecretion of insulin. 80% of these tumours are unique and
benign, and about 10% of cases are malignant, the remaining being multiple benign tumours (50% of
which are associated with multiple endocrine neoplasia syndromes). The diagnosis is suspected in a
patient with symptomatic hypoglycemia, clinical manifestations constituting the “Whipple triad”. We
report the case of a patient aged 70 from Sibiu, known with stage II hypertension risk group C, and
stage II obesity, showing association of the insulinoma with a tumour of the left adrenal gland
(hyperplasia of the fascicular area). Genetic screening for the identification of a MEN syndrome was not
performed.
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