- 期刊
Insulinoma: A Case Report
胰島素瘤－病例報告
摘要
胰島素瘤是種罕見的內分泌疾病，常產生各種低血糖的症狀，甚至引起昏迷、休克。然而在診斷胰島素瘤之前，應先考慮其它會產生類似症狀的疾病，如：過度使用胰島素或口服降血糖藥，彌漫性肝疾病併酗酒，惡性腫瘤……等。本文報告一63歲男性病人曾有反覆發生梳食中抽搐，或不同程度的意識障礙；血糖值多小於40，胰島素及C-胜之濃度則升高；手術後證實為胰島素瘤，術後至今六年多，都不再發生類似之問題。由於確定診斷之胰島素瘤病例在國內尚屬罕見，特提出報告並做文獻之整理與回顧。
關鍵字
無資料並列摘要
Insulinoma is a rare disease, which frequently causes hypoglycemic symptoms and signs or even shock. However, other diseases that produce similar symptoms and signs should firstly be ruled out. We describe a 63 years old male veteran who suffered from repeated episodes of seizure and conscious disturbance upon fasting, on and off for 8 years. Serial examinations led to the suspicion that this might be a case of insulinoma; the suspicion was later confirmed by pathologic examination after the tumor had been excised, and his problems disappeared. After six years, a follow-up examination showed that his condition was still stable.
延伸閱讀
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