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Furukawa, Toru
Department School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine Position Visiting Professor |
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| Article types | Case report |
| Language | English |
| Peer review | Non peer reviewed |
| Title | A case of long-survival insulinoma with multiple neuroendocline tumour type 1 controlled by multimodal therapy. |
| Journal | Formal name：Journal of surgical case reports Abbreviation：J Surg Case Rep ISSN code：(2042-8812)2042-8812(Linking) |
| Domestic / Foregin | Foregin |
| Volume, Issue, Page | 2017(12),pp.rjx244 |
| Author and coauthor | SHIIHARA Masahiro†*, IZUMO Wataru, HIGUCHI Ryota, YAZAWA Takehisa, UEMURA Shuichiro, FURUKAWA Toru, YAMAMOTO Msakazu |
| Publication date | 2017/12 |
| Summary | Insulinomas with multiple neuroendocrine tumour type 1 (MEN1) sometimes have metachronous or recurrent tumours. However, the treatment for these tumours is controversial, and published reports regarding multimodal therapy for insulinomas are limited. We report a 73-year-old woman with recurrent insulinoma with MEN1 successfully controlled by multimodal therapy. She had several complications, and poor performance status. Her hypoglycaemia did not improve after 6-month octreotide LAR; as such, she underwent enucleation of the pancreatic tumour. Within 7 years after the first operation, she underwent four succeeding surgeries for recurrent tumours. Her medications during follow-up were octreotide-LAR and Everolimus. Insulinoma can be managed through various treatment options. Medical treatment includes octreotide-LAR and Everolimus, while surgical approach includes enucleation and pancreaticoduodenectomy. Some tumours, particularly those that are MEN1, can recur repeatedly. Thus, several treatments are needed to control them. We highlight the importance of multimodal therapy, including repeated surgery, for the control of the disease. |
| DOI | 10.1093/jscr/rjx244 |
| PMID | 29250314 |