A Case of Insulinoma in a Patient with Neurofibromatosis Type 1
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- KUBOTA Takumi
- Department of Surgery, Gifu Prefectural Tajimi Hospital
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- KAJIKAWA Masaki
- Department of Surgery, Gifu Prefectural Tajimi Hospital
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- YAMAMOTO Hiroyasu
- Department of Surgery, Gifu Prefectural Tajimi Hospital
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- ASADA Takahiro
- Department of Surgery, Gifu Prefectural Tajimi Hospital
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- OKUMURA Norio
- Department of Surgery, Gifu Prefectural Tajimi Hospital
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- WATANABE Takuya
- Department of Surgery, Gifu Prefectural Tajimi Hospital
Bibliographic Information
- Other Title
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- 神経線維腫症1型に合併したインスリノーマの1例
- シンケイ センイ シュショウ 1ガタ ニ ガッペイ シタ インスリノーマ ノ 1レイ
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Abstract
<p>A 37-year-old man was presented with seizures and loss of consciousness. Morning hypoglycemia was observed, and since contrast-enhanced computed tomography showed a clearly demarcated, hypervascular tumor in the pancreatic head and boby, insulinoma was diagnosed. Surgery was scheduled, but because the patient also had neurofibromatosis type 1, there were multiple other nodules in the pancreas, and these had to be distinguished intraoperatively to enable total resection of the insulinoma. Partial pancreatectomy was conducted with the use of preoperative selective arterial calcium injection, intraoperative ultrasound, rapid intraoperative pathological diagnosis, and intraoperative blood insulin measurement during rapid calcium infusion. Three years postoperatively, there has been no sign of recurrence.</p>
Journal
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- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 84 (2), 333-339, 2023
Japan Surgical Association
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Keywords
Details 詳細情報について
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- CRID
- 1390015819046545920
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- NII Book ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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- NDL BIB ID
- 032733795
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
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- Abstract License Flag
- Disallowed