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A Case of Surgically Treated Insulinoma in Pregnancy

Other Title
임신중 수술적 치료로 완치된 인슐린종 1예
Authors
이, 성근; 박, 소윤; 신, 영구; 이, 성규; 정, 윤석; 이, 관우; 김, 현만; 소, 의영; 황, 경주
Citation
Journal of Korean Society of Endocrinology, 13(2):288-294, 1998
Journal Title
Journal of Korean Society of Endocrinology; 대한내분비학회지
ISSN
1015-6380
Abstract
Insuliin secreting tumor is 70% prevalent disease in female and predoadnant in forth and sixth deeade. The incidence of insulinoma is one case per 250,000 patient-years. Insulinoma in pregnancy was extremely rare, and the prevalence was not reported. The diagnosis of an insulinoma is depend on demonstration of hypoglycemia with high insulin and C-peptide levels. Immunoreactive insulin/plasma glucose ratio0.3 in particular support the diagnosis of an insulinoma. Fetal complication would be developed because of hypoglycemia. In approximately half of the cases reported, surgical exploration was done during pregrancy, the remainder were treated after delivery. Insulinoma poses serious diagnostic and therapeutic problems when she is pregnant. We experienced a case of insulinoma in pregnancy that represented Whipples triad and was treated by surgical intervention.
Keywords
InsulinomaPregnancySurgical treatment
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Journal Papers > School of Medicine / Graduate School of Medicine > Endocrinology & Metabolism
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