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Articolul urmator |
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Ultima descărcare din IBN: 2022-02-21 17:40 |
SM ISO690:2012 HOTINEANU, Adrian, CAZAC, Anatol. Diagnostic şi tratament contemporan a insulinomului pancreatic. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 414. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | |||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | |||||||
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Pag. 414-414 | |||||||
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Rezumat | |||||||
Background. Insulinomas are rare neuroendocrine tumors developed from pancreatic islet β-cells and is a common cause of hypoglycemia due to endogenous hyperinsulinism. Medical topographic imagistic diagnosis is difficult to achieve due to the small tumor size. Objective of the study. Evaluation of modern diagnostic and curative strategies in pancreatic insulinoma. Material and Methods. The study presents the results of surgical treatment applied to 14 patients with pancreatic insulinoma (including a case of recurrent insulinoma over 8 years) during the years 1993-2019, within the Department of Surgery No.2. Diagnostic management included clinical, laboratory examination (assessment of serum insulin, glucagon, C-peptide), ultrasound, CT, MRI. Results. Neuropsychic symptoms(cases)-12(85,8%), adrenergic-10(71,4%), digestive-7(50,0%), Cushingoid syndrome-2(14,3%). Glycemic level during hypoglycemic and convulsive seizures: 2.1-3.1mmol/l, after administration of glucose 40%-3.65.5mmol/l, mean value of insulin-32,17μU/Ml, peptide C-4 , 55ng / ml; sensitivity of the methods: ultrasound-32.3%, CT-50.0%, CT in angiographic regime-92,5%, MRI-90,0%. Surgery performed: tumor enucleation-5(41.7%), corporo-caudal pancreatectomy-9 (64.3%). Postoperative mortality0. Conclusion. Contemporary preoperative and intraoperative imagistic methods allow the localization and excision of insulinoma, avoiding blind pancreatic resections. Early surgery prevents the sequelae of hypoglycemic encephalopathy. |
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Cuvinte-cheie pancreatic insulinoma, Diagnosis, treatment, insulinom pancreatic, diagnostic, Tratament |
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