Usefulness of the Combination of Pre- and Intraoperative Selective Intraarterial Calcium Injection to Detect Residual Insulinomas
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概要
- 論文の詳細を見る
In a 35-year-old woman diagnosed with insulinoma selective intraarterial calcium injection was positive for proximal gastroduodenal artery and inferior pancreaticoduodenal artery involvement preoperatively. Although non-invasive imaging studies were negative, a mass was detected at the pancreatic uncus by intraoperative ultrasonography. Gastroduodenal artery calcium injection was performed after enucleation of the tumor. Following calcium injection, the insulin level was inappropriately increased and further pancreaticoduodenectomy was performed. After excision, another tumor was detected at the head of the pancreas by histopathological examination. As shown, selective intraarterial calcium injection is useful to localize tumors preoperatively and intraoperatively.(Internal Medicine 40: 48-51, 2001)
- 社団法人 日本内科学会の論文
著者
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MASUDA Hiroyuki
Department of Neurosurgery, Toho University, Omori Medical Center
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Hayashi Yukiko
Department Of Internal Medicine Asama General Hospital
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Naka Motoji
Department Of Internal Medicine Asama General Hospital
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EIZAWA Takayuki
Department of Internal Medicine, Asama General Hospital
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YAMANAKA Taro
Department of Internal Medicine, Asama General Hospital
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Yamanaka Taro
Department Of Internal Medicine Asama General Hospital
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Masuda Hiroyuki
Department Of Applied Chemistry Faculty Of Engineering Gunma University
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Eizawa Takayuki
Department Of Internal Medicine Asama General Hospital
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Masuda Hiroyuki
Department Of Surgery Asama General Hospital
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