Insulinoma

Aka: Insulinoma, Pancreatic Islet Cell Tumor

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II. Symptoms and Signs

  1. See Hypoglycemia

III. Radiology (Localize tumor)

  1. CT Abdomen
  2. Ultrasound Pancreas

IV. Management

  1. See Hypoglycemia
  2. Surgical excision
  3. Medical Therapy (If surgery delayed or ineffective)
    1. Diazoxide 300-1200 mg/day IV/PO PLUS a Diuretic
    2. Octreotide 150-150 ug/day divided doses SC

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