Insulinoma: how reliable is the biochemical evidence?

Abstract:

BACKGROUND AND METHODS:We report a case of insulinoma in which the diagnosis was very challenging as some of the biochemical data were consistently equivocal. In order to assess the relative reliability of the analytical tests, retrospective biochemical data on 45 other cases of histologically confirmed insulinoma were evaluated, enabling the most secure diagnostic process to be identified. RESULTS:The data showed that insulin concentrations alone, although measurable, were equivocal in 17% of cases. The addition of C-peptide values clarified the diagnosis in about 50% of the borderline cases, whilst ketone (beta-hydroxybutyrate) concentrations were low during the prevailing hypoglycaemia in all cases. CONCLUSION:The combination of these three tests is suggested as the most effective method for the biochemical diagnosis of hypoglycaemia due to insulinoma.

journal_name

Ann Clin Biochem

authors

Chammas NK,Teale JD,Quin JD

doi

10.1258/000456303770367315

subject

Has Abstract

pub_date

2003-11-01 00:00:00

pages

689-93

issue

Pt 6

eissn

0004-5632

issn

1758-1001

journal_volume

40

pub_type

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