Die Endosonographie in der Diagnostik des Insulinoms
| Autor: | Christa Meyenberger, Borut Marincek, Philipp Bertschinger, G Zala |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Endoscopic ultrasound
medicine.medical_specialty medicine.diagnostic_test business.industry Magnetic resonance imaging medicine.disease Resection medicine.anatomical_structure Predictive value of tests medicine Radiology Nuclear Medicine and imaging Tomography Radiology Pancreas Prospective cohort study business Insulinoma |
| Zdroj: | Ultraschall in der Medizin. 16:224-227 |
| ISSN: | 1438-8782 0172-4614 |
| Popis: | Aim In a prospective study endoscopic ultrasonic localisation of clinically suspected insulinomas was compared with the findings of abdominal ultrasound, computed tomography and magnetic resonance imaging. Method From Dec. 1990 to Jan. 1995 11 patients (8f, 3m, median age 42 [27-79] years) were enrolled in the study. The preoperative endosonographic findings were compared to surgery (n = 7) or clinical follow-up (n = 4). Results Endoscopic ultrasound identified a solitary tumour (mean size 12.4 mm) in 7 of 11 patients, which was proven at surgery in 5 patients and by transhepatic portal venous sampling after negative partial pancreas resection in 1 patient. One patient is still awaiting surgery. Clinical follow-up (n = 2) and negative intraoperative and histological findings of partial pancreas resection (n = 1) confirmed a true negative examination in 3 patients. One patient with negative endoscopic ultrasound is still under medication for recurrent hypoglyctemia. Abdominal ultrasound (n = 11), computed tomography (n = 11) and magnetic resonance imaging (n = 5) were negative in all investigated patients. Conclusion Endoscopic ultrasound is highly accurate for localisation of insulinomas and should be performed early in the preoperative management of these patients. |
| Databáze: | OpenAIRE |
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