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2019, Number 6

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Mul Med 2019; 23 (6)

Pancreatic incidentaloma, a rare tumor. Presentation of a radiological clinical case

Sosa FA, Franco CJA, Figueredo MAE
Full text How to cite this article

Language: Spanish
References: 11
Page: 1403-1415
PDF size: 461.74 Kb.


Key words:

neuroendocrine tumor, pancreas.

ABSTRACT

Incidentalomas are unsuspected findings of a certain pathology, detected in laboratory, imaging or endoscopic examinations, may or may not be relevant to the patient's health, causing fear in their uncertainty. The case we bring is a 51-year-old male patient from Sri Lanka admitted to the orthopedic ward of the Cuban Hospital of Qatar to be operated on a phalange fracture; in routine examinations, hypoglycemia was detected, interpreted as laboratory error, because the patient was asymptomatic, without changes in controls. He was assessed by endocrinologist, detecting high levels of endogenous insulin, so he indicated a series of studies finding a tumor of the tail of the pancreas and liver, suggestive of neuroendocrine tumor of the pancreas with liver metastases, corroborated by pathological anatomy; the tumor was removed and the metastasis treated; Currently the patient is being monitored by oncology and endocrinology.


REFERENCES

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  2. Kleeff J, Korc M, Apte M, La Vecchia C, Johnson C, Biankin A, et al. Pancreatic cancer. Nature Reviews Disease Primers. [Internet]. 2016 [citado 8/7/2019]. Disponible en: https://www.nature.com/articles/nrdp201622

  3. Tsoli M, Chatzellis E, Koumarianou A, Kolomodi D, Kaltsas G. Current best practice in the management of neuroendocrine tumors. Ther Adv Endocrinol Metab. [Internet] 2018 [citado 7/8/2019]; 10. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6378464/

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  6. Service FJ, Vella A. Hypogycemia in adults without diabetes mellitus: Diagnostic approach. UpToDate [Internet]. 2018 [citado 7/8/2019]. Disponible en: https://www.uptodate.com/contents/hypoglycemia-in-adults-without-diabetes-mellitus-diagnostic-approach

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Mul Med. 2019;23