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Severe hypoglycaemia after long-acting octreotide in a patient with an unrecognized malignant insulinoma
Authors:Healy M L  Dawson S J  Murray R M L  Zalcberg J  Jefford M
Institution:Division of Haematology and Medical Oncology, Peter MacCallum Cancer Centre;and Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Victoria, Australia
Abstract:Insulinomas are the most common hormone-producing pancreatic neuroendocrine tumours (NETs), and patients usually present with symptoms secondary to hypoglycaemia. Octreotide has been widely used in the symptomatic treatment of patients with pancreatic NETs, including insulinomas. We describe a case of a patient with a metastatic NET, subsequently identified as a malignant insulinoma, who developed severe hypoglycaemia after treatment with long-acting octreotide.
Keywords:hypoglycaemia  insulinoma  octreotide
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