Abstract

GONZALEZ CLAVIJO, Angélica María et al. Embolisation of liver metastasis in malignant insulinoma: from hyperglycaemia to hypoglycaemia. rev.colomb.cancerol. [online]. 2017, vol.21, n.3, pp.179-183. ISSN 0123-9015.  https://doi.org/10.1016/j.rccan.2016.07.003.

The case is presented of a 75 year-old man who was diagnosed with malignant insulinoma in an advanced stage with diffuse liver metastases and symptoms due to hyperinsulinaemic hypoglycaemia refractory to treatment with diazoxide and short-acting octreotide. The patient had an unexpected clinical response to trans-arterial embolisation of liver metastases, since, despite still having the tumour, he developed persistent hyperglycaemia that required insulin treatment. A brief review of the literature is also presented on the treatment options for hyperinsulinaemic hypoglycaemia.

Keywords : Malignant insulinoma; Hyperinsulinaemic hypoglycaemia; Intraarterial hepatic embolisation.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )