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The blinded resection avoided in case of pancreatic insulinoma
Despite of the technique and technology developement there are still a lot of troubles to verify small benign-looking pancreatic NETs. It can be especially important in case of insulinoma. The organic hyperilsulinism and severe hypoglicemia causeb by the insulin/proinsulin - producing lesion can lead to severe complications and evem death.
There are some cases of the blinded resections of the pancreas in patients with the "hidden" insulinoma when the tumor can't be revealed during the preoperative diagnostics and intraoperatively. Unfortunately, blind resection do not solve the problem of the hypoglicemia but also cause the specific pancreatic complications.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Revealed insulinoma | Cases when the tumor was revealed by the preoperative diagnostics and confirmed after the tumor elimination |
| |
| Hidden Insulioma | Group when the insulinoma haven't been revealed preoperative and intraoperatively and the blind resection was performed. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pancreatic resection | Procedure | Different pancreatic resections |
|
| Measure | Description | Time Frame |
|---|---|---|
| No hidden insulinomas | To improve the diagnostics of the tumor before and during the surgery. The "hidden" insulinomas haven't been diagnosed. The frozen section have to be routinely performed. The surgery haven't been finished before the morphologic confirmation of the resected lesion. | 2010 June - 2020 June |
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Inclusion Criteria:
The blinded resection of the insulinoma
Exclusion Criteria:
Other tumors
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All patients surgically treated in case of pancreatic insulinoma/proinsulinoma
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| ID | Term |
|---|---|
| D007340 | Insulinoma |
| ID | Term |
|---|---|
| D007516 | Adenoma, Islet Cell |
| D000236 | Adenoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
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| D009369 | Neoplasms |
| D010190 | Pancreatic Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D004701 | Endocrine Gland Neoplasms |
| D004066 | Digestive System Diseases |
| D010182 | Pancreatic Diseases |
| D004700 | Endocrine System Diseases |