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Transcutaneous and EUS-guided radiofrequency ablation are both modern modalities to apply in the managemnet of various malignancies.
In the current study the investigators aim to study the technical feasibility, patient safety and clinical efficacy of EUS-RFA for the treatment of pancreatic insulinoma.
Patients (P): Alla patients referred to Sahlgrenska University Hospital for the diagnostic work-up and management of a suspected pancreatic insulinoma.
Intervention (I): EUS-RFA
Control group (C): Patients with insulinoma treated with conventional surgery during the time frame 2018-2025 (historic controls).
Outcome (O):
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Prospective cohort subjected to EUS-RFA | All patientens enrolled prospectively from 2025 and onwards subjected to EUS-RFA as treatemtn for pancreatic insulinoma |
| |
| Control group | All patients subjected to surgery due to insulinoma during 2018-2024 acting as a historic control group |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| EUS-RFA | Procedure | Treatment of insulinoma by EUS-RFA |
|
| Measure | Description | Time Frame |
|---|---|---|
| Clinical efficacy | Symptom-free survival after EUS-RFA (no clinical signs of residual disease, i.e. insulin-producing insulinoma cells) | 3-24 months post-EUS |
| Measure | Description | Time Frame |
|---|---|---|
| Patient safety | Adverse evnt rate according to Clavien-Dindo at 30 days post-EUS-RFA | 30 days post-EUS-RFA |
| Imaging effect post-EUS-RFA with respect to tumor size | Imaging of the insulinoma by EUS post-EUS-RFA and thereby the assessment of tumor size |
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Inclusion Criteria:
Exclusion Criteria:
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All patients referred to Sahlgrenska UH for the diagnosis and treatment of pancreatic insulinoma.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Per Hedenström, Associate Professor | Contact | +46 31 3421000 | per.hedenstrom@vgregion.se | |
| Riadh Sadik, Associate Professor | Contact | +46 31 3421000 |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sahlgrenska Univeristy Hospital | Recruiting | Gothenburg | Sweden |
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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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| 3-24 months post-EUS-RFA |
| Imaging effect post-EUS-RFA with respect to tumor vascularization | Imaging of the insulinoma by EUS post-EUS-RFA and thereby the assessment of remaining tumor vascularization | 3-24 months post EUS-RFA |
| 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 |