J Korean Soc Endocrinol.  2001 Oct;16(4-5):514-519.

A Case of Islets Cell Hyperplasia Diagnosed by Selective Arterial Calcium Stimulation Test

Affiliations
  • 1Department of Internal Medicine, Eulji University School of Medicine, Eulji Medical Center, Seoul, Korea.
  • 2Department of Radiology, Eulji University School of Medicine, Eulji Medical Center, Seoul, Korea.
  • 3Department of General Surgery, Eulji University School of Medicine, Eulji Medical Center, Seoul, Korea.
  • 4Department of Pathology, Eulji University School of Medicine, Eulji Medical Center, Seoul, Korea.

Abstract

We report a 40-year-old female patient with clinical findings suggestive of insulinoma. Although imaging studies did not reveal any tumors in the pancreas, a selective arterial calcium stimulation test(SACI), procedurally simpler and more effective than transhepatic pancreatic venous sampling, was performed. And then near total pancreatectomy was carried out because the possibility of small insulinoma could not be completely excluded. Grossly, the surgically removed pancreas did not reveal any tumors. However, the pancreas exhibited islets cell hyperplasia. To our knowledge, this is the first reported authentic case in a Korean adult of islet-cell hyperplasia diagnosed by selective arterial calcium stimulation test.


MeSH Terms

Adult
Calcium*
Female
Humans
Hyperplasia*
Insulinoma
Pancreas
Pancreatectomy
Calcium
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