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Chang JYC, Woo CSL, Lui DTW, Fung MMH, Lee ACH, Leung EKH, Woo YC, Chow WS, Lam KSL, Tan KCB, Lee CH. Case Report: Insulinoma Co-Existing With Type 2 Diabetes - Advantages and Challenges of Treatment With Endoscopic Ultrasound-Guided Radiofrequency Ablation. Front Endocrinol (Lausanne) 2022; 13:957369. [PMID: 35942178 PMCID: PMC9355856 DOI: 10.3389/fendo.2022.957369] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Accepted: 06/14/2022] [Indexed: 11/27/2022] Open
Abstract
The coexistence of insulinoma and type 2 diabetes is rare and the diagnostic process is often challenging. Continuous glucose monitoring system devices, which are more readily available nowadays, provide a useful tool for the diagnosis and evaluation of treatment response. Curative surgery is often the mainstay of treatment for insulinoma. Here, we report a Chinese patient with insulinoma diagnosed simultaneously with type 2 diabetes. His insulinoma was managed with endoscopic ultrasound guided-radiofrequency ablation (EUS-RFA) and the patient achieved complete resolution of hypoglycaemic episodes. The case illustrates that while EUS-RFA is an emerging non-invasive treatment modality for pancreatic lesions, limitations exist especially when histological confirmation is essential.
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Affiliation(s)
| | | | - David Tak-Wai Lui
- Department of Medicine, University of Hong Kong, Hong Kong, Hong Kong SAR, China
| | - Matrix Man-Him Fung
- Department of Surgery, University of Hong Kong, Hong Kong, Hong Kong SAR, China
| | - Alan Chun-Hong Lee
- Department of Medicine, University of Hong Kong, Hong Kong, Hong Kong SAR, China
| | - Eunice Ka-Hong Leung
- Department of Medicine, University of Hong Kong, Hong Kong, Hong Kong SAR, China
| | - Yu-Cho Woo
- Department of Medicine, University of Hong Kong, Hong Kong, Hong Kong SAR, China
| | - Wing-Sun Chow
- Department of Medicine, University of Hong Kong, Hong Kong, Hong Kong SAR, China
| | - Karen Siu-Ling Lam
- Department of Medicine, University of Hong Kong, Hong Kong, Hong Kong SAR, China
| | | | - Chi-Ho Lee
- Department of Medicine, University of Hong Kong, Hong Kong, Hong Kong SAR, China
- *Correspondence: Chi-Ho Lee,
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