Thursday, 28 October 2010

MRCP revision battle 36.5: Insulinoma

Insulinoma is the commonest pancreatic endocrine tumour.

10% are malignant, 10% are multiple.
If multiple, 50% are associated with MEN-1.

Presentation tends to be with the symptoms of hypoglycaemia (revise battle 29.1 if you need to be reminded of these)

Diagnosis is by supervised prolonged fasting.

Treatment is surgical excision.

Onwards for a quick tour of metabolic syndrome...