Insulinoma?

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Insulinoma?

  • 7 year old FN Lab with dropped jaw (suspect trigeminal neuritis), mild pyrexia, mild anaemia (non-regen) and lethargy
  • Hypoglycaemic on oxolate lab sample, recheked with glucometer next visit – low normal
  • Is this a pancreatic mass or LN? Could this be an insulinoma?

  • 7 year old FN Lab with dropped jaw (suspect trigeminal neuritis), mild pyrexia, mild anaemia (non-regen) and lethargy
  • Hypoglycaemic on oxolate lab sample, recheked with glucometer next visit – low normal
  • Is this a pancreatic mass or LN? Could this be an insulinoma?

Comments

rlobetti
February 2, 2019 at 4:51 am -

Would need to run insulin

Would need to run insulin levels and if high with concurrent hypoglycemia, then diagnosis woud be insulinoma.

veteurope1
February 2, 2019 at 9:18 am -

The glucose was within normal

The glucose was within normal range (low normal) at time of scan so did not check insulin levels then. Will recheck glucose again. Thanks. 

EL
February 11, 2019 at 2:52 pm -

This looks like a LN to me

This looks like a LN to me well defined capsule. Search insulinoma in the search engine and you will see the distortion of the undifferentiated tissue as opposed to a LN with a capsule.

https://sonopath.com/members/case-studies/search?text=insulinoma&species=All

veteurope1
February 11, 2019 at 2:59 pm -

Thanks EL.

Thanks EL.

veteurope1
February 11, 2019 at 2:59 pm -

Thanks EL.

Thanks EL.

veteurope1
February 11, 2019 at 2:59 pm -

Thanks EL.

Thanks EL.

veteurope1
February 11, 2019 at 2:59 pm -

Thanks EL.

Thanks EL.

veteurope1
February 11, 2019 at 2:59 pm -

Thanks EL.

Thanks EL.

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