Pancreatic insulinomas--a study of 15 cases from 1978-98.

F. A. Meah, A. Qureshi, A. Y. Jasmi, Rohaizak Muhammad, I. Faridah, B. A. Khalid, M. A. Zulfiqar, N. A. Sharifah

Research output: Contribution to journalArticle

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Abstract

Fifteen cases of insulinoma were managed at HUKM over a period of 20 years. Although all patients presented with neurological symptoms, the diagnosis was delayed in all. Fasting hypoglycaemia and the measurement of C-peptide levels eventually made the diagnosis. Pre-operative localization investigations were not particularly useful. Intraoperative ultrasound (IOUS) detected 72% of the insulinomas, while 93% of the insulinomas were identified intraoperatively by palpation. All the insulinomas were detected intraoperatively with the combination of the two techniques. Twelve of 15 patients had benign adenomas including one patient with MEN-1 syndrome. Two patients had malignant insulinomas. One patient refused surgery. Nine patients underwent pancreatic resections and the remaining 5 patients had the adenomas enucleated.

Original languageEnglish
Pages (from-to)242-245
Number of pages4
JournalThe Medical journal of Malaysia
Volume55
Issue number2
Publication statusPublished - Jun 2000

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Insulinoma
Adenoma
Multiple Endocrine Neoplasia Type 1
C-Peptide
Palpation
Delayed Diagnosis
Hypoglycemia

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Meah, F. A., Qureshi, A., Jasmi, A. Y., Muhammad, R., Faridah, I., Khalid, B. A., ... Sharifah, N. A. (2000). Pancreatic insulinomas--a study of 15 cases from 1978-98. The Medical journal of Malaysia, 55(2), 242-245.

Pancreatic insulinomas--a study of 15 cases from 1978-98. / Meah, F. A.; Qureshi, A.; Jasmi, A. Y.; Muhammad, Rohaizak; Faridah, I.; Khalid, B. A.; Zulfiqar, M. A.; Sharifah, N. A.

In: The Medical journal of Malaysia, Vol. 55, No. 2, 06.2000, p. 242-245.

Research output: Contribution to journalArticle

Meah, FA, Qureshi, A, Jasmi, AY, Muhammad, R, Faridah, I, Khalid, BA, Zulfiqar, MA & Sharifah, NA 2000, 'Pancreatic insulinomas--a study of 15 cases from 1978-98.', The Medical journal of Malaysia, vol. 55, no. 2, pp. 242-245.
Meah FA, Qureshi A, Jasmi AY, Muhammad R, Faridah I, Khalid BA et al. Pancreatic insulinomas--a study of 15 cases from 1978-98. The Medical journal of Malaysia. 2000 Jun;55(2):242-245.
Meah, F. A. ; Qureshi, A. ; Jasmi, A. Y. ; Muhammad, Rohaizak ; Faridah, I. ; Khalid, B. A. ; Zulfiqar, M. A. ; Sharifah, N. A. / Pancreatic insulinomas--a study of 15 cases from 1978-98. In: The Medical journal of Malaysia. 2000 ; Vol. 55, No. 2. pp. 242-245.
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