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Korean J Intern Med. 2015;30(1):118-21.

An insulinoma with an aberrant feeder from the splenic artery detected by super-selective arterial calcium stimulation with venous sampling.

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제1저자 문준호 · 교신저자 조영민

소속 (3)
  1. Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
  2. Department of Radiology, Seoul National University College of Medicine, Seoul, Korea.
  3. Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.

Keywords

AngiographyInsulinoma

Figures

Figure 1
Figure 1 (A) Abdominal computed tomography image. (B) No definite mass was found. Celiac arteriography shows the tumor (arrow) and the feeding artery (arrowheads) originating from the proximal splenic artery.
Figure 2
Figure 2 Insulin (A) and C-peptide (B) levels in hepatic venous blood samples after selective arterial calcium stimulation of three major pancreatic arteries and the feeder artery. Insets depict insulin and C-peptide levels after calcium stimulation of three major pancreatic arteries. SMA, superior mesenteric artery; GDA, gastroduodenal artery; SPA, splenic artery; SPAf, the feeder artery from the splenic artery.
Figure 3
Figure 3 (A-F) Immunohistochemical staining of the insulinoma (×200). Hematoxylin and eosin staining of the insulinoma is consistent with a neuroendocrine tumor (A). The proportion of Ki-67-positive cells (arrowheads) was 0.27% (15/5,524) of tumor cells (B). Most of the tumor cells stained positively for chromogranin (C), synaptophysin (D), insulin (E), and CD56 (F).

그림 출처: PubMed Central 공개 논문 (PMC4293551)

Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

그 밖의 정보
출판 형태
Case Reports, Letter
저널
The Korean journal of internal medicine · eISSN 2005-6648
전자 출판
2014-12-30
MeSH
Biomarkers, Tumor / blood · Biopsy · Blood Glucose / metabolism · C-Peptide / blood · Calcium Gluconate* / administration & dosage · Female · Humans · Immunohistochemistry · Injections, Intra-Arterial · Insulin / blood · Insulinoma / blood / blood supply / pathology / surgery · Middle Aged · Pancreatic Neoplasms / blood / blood supply / pathology / surgery · Pancreaticoduodenectomy · Splenic Artery / diagnostic imaging · Tomography, X-Ray Computed* · Treatment Outcome
Substances
Biomarkers, Tumor · Blood Glucose · C-Peptide · Insulin · Calcium Gluconate
참고문헌
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