← Return to Pancreatic neuroendocrine insulinoma
DiscussionPancreatic neuroendocrine insulinoma
Neuroendocrine Tumors (NETs) | Last Active: Sep 20 5:34am | Replies (73)Comment receiving replies
Replies to "I appreciate Your follow up. Unfortunately I was disregarded by the oncologist, the only thing that..."
What hospital are you in?
For both of the 72 hour fasts, the endocrinologist ordered. The first was
done in the hospital in NC. The second was done at Mayo and was started in
the clinic with conversion to hospital if not hypoglycemic by close of
clinic.
Calcium stimulation was another very helpful test- it will confirm presence
or absence of insulinoma and localize to the region of the pancreas as well
as can be done with the liver. The calcium is used to stimulate the tumors
to produce insulin and results are found in the insulin levels that are
drawn every 20 seconds after injection. This is all done through femoral
arterial and venous lines. This procedure was done at Mayo.
Hope this is helpful. I am happy to continue to answer questions as I truly
understand how challenging this can all be!
Take care.