Insulinoma
Open accessAbstract
Insulinoma is a rare neuroendocrine tumor with an incidence of 4 per 1 million persons per year, which may occur as a unifocal sporadic event in patients without an inherited syndrome or as a part of multiple endocrine neoplasia type 1. Key neuroglycopenic and hypoglycemic symptoms in conjunction with biochemical proof establish the diagnosis. Once the diagnosis is established, the insulinoma is preoperatively localized within the pancreas with the goal of surgical excision for cure. This review discusses the historical background, diagnosis, and management of sporadic insulinoma.
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An insulinoma, which is extremely rare, should be considered if fasting hypoglycemia occurs (i.e. not provoked by a meal).
“In contrast, an insulinoma, which is extremely rare, should be considered if fasting hypoglycemia occurs (i.e.not provoked by a meal) (41,42).”
From Dumping syndrome after esophageal, gastric or bariatric surgery: Pathophysiology, diagnosis, and management (2017) · cites this paper as [41]
It is estimated that about 1 in 10,000,000 people are diagnosed with idiopathic/sporadic adult-onset nesidioblastosis annually.
“It is estimated that about 1 in 10,000,000 people are diagnosed with this disease annually [45-48].”
From An Uncommon Cause of Recurrent Presyncope, Dizziness, and Tachycardia: A Case Report of Diffuse, Adult-Onset Nesidioblastosis/Non-Insulinoma Pancreatogenous Hypoglycemia Syndrome (NIPHS) (2023) · cites this paper as [47]
The opening Insulinoma section gives an annual incidence of 4 per million for insulinoma, not idiopathic or sporadic adult-onset nesidioblastosis. Searches for nesidioblastosis and the claimed 1-in-10-million annual figure found no passage addressing that disease’s incidence in our copy. (LLM, conf=0.76)
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- Authors
- Mathur, A., Gorden, P., & Libutti, S. K.
- Affiliations
- National Institutes of Health (US)
- Albert Einstein College of Medicine (US)
- Corresponding author
- Libutti, Steven K.
- Venue
- Surgical Clinics of North America
- Publisher
- Elsevier BV
- Published
- 2009-10
- Volume
- 89
- Issue
- 5
- Pages
- 1105-1121
- ISSN
- 0039-6109 (ISSN-L)
- PMC
- PMC3470467
- OpenAlex
- W4236418830
- Cited by
- 114
- References
- 70
- Citations by year
- 2026: 3 · 2025: 10 · 2024: 4 · 2023: 17 · 2022: 8 · 2021: 5 · 2020: 10 · 2019: 3 · 2018: 5 · 2017: 7 · 2016: 4 · 2015: 9 · 2014: 8 · 2013: 7 · 2012: 4
- FWCI
- 0.57
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Surgical Clinics of North America (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (Z99 DK999999, Z99 OD999999, Z99 DA999999)
- Topics
- Health Sciences › Medicine › Epidemiology › Neuroendocrine Tumor Research Advances
- Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
- Health Sciences › Medicine › Oncology › Pancreatic and Hepatic Oncology Research
- Keywords
- insulinoma, neuroendocrine tumors, multiple endocrine neoplasia type 1, hypoglycemia, neuroglycopenic symptoms, surgical excision, diagnosis
- MeSH terms
- Combined Modality Therapy, Diagnosis, Differential, Diagnostic Imaging, Humans, Insulinoma, Neoplasm Metastasis, Pancreatic Neoplasms, Liver Transplantation
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