Amelioration of diabetes mellitus by an insulinoma.
Amelioration of diabetes mellitus by an insulinoma.
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通过胰岛素瘤改善糖尿病。
DOI：
10.1056/nejm195805082581903
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发表时间：
1958
期刊：
影响因子：
--
通讯作者：
N. Stoller
中科院分区：
文献类型：
--
作者：
R. Gittler;G. Zucker;R. Eisinger;N. Stoller
' I 'HE 糖尿病患者出现胰腺功能性胰岛细胞肿瘤 -1- 是极其罕见的现象。我们最近研究了一位患者，他的糖尿病在九年的时间里逐渐改善，最终导致自发性低血糖的明显发作。剖腹探查发现胰腺有一个巨大的胰岛细胞肿瘤。切除肿瘤可以完全缓解低血糖并重新出现糖尿病状态。由于弥漫性肝病的共存，胰岛素瘤的术前诊断变得复杂。病例报告 N.J.，一名 67 岁的希伯来男子，进入。 。 。
' I 'HE occurrence of a functioning islet-cell tumor -1- of the pancreas in a patient with diabetes mellitus is an exceedingly rare phenomenon. We have recently studied a patient who demonstrated a gradual amelioration of diabetes over a period of nine years that finally culminated in frank episodes of spontaneous hypoglycemia. Laparotomy revealed a large islet-cell tumor of the pancreas. Excision of the neoplasm afforded complete relief of the hypoglycemia and re-emergence of the diabetic state. The preoperative diagnosis of an insulinoma was complicated by the coexistence of diffuse liver disease. Case Report N.J., a 67-year-old Hebrew man, entered . . .