NET - Insulinoma
Hello to All,
I am joining this group from the Diabetes/Endocrine group. In July 2015 I was diagnosed with 2 insulinomas - both removed surgically at DUMC in NC. The diagnostic work-up included a 5 day hospital stay (72 hour fast + complications) and the surgery was an 11 day hospital stay (typical stay for a Whipple procedure). About 3 months post surgery, I started having recurrent hypoglycemia symptoms very similar to my pre-op symptoms. Insulinomas are very difficult to diagnose and locate and so far they have not been able to locate a new tumor but do suspect there is regrowth of an old tumor or growth of a new one. That is what will bring me to Mayo next week. Anyone been through insulinoma testing at Mayo? Hopeful to be starting down a path to possibly find a resolution of daily hypoglycemia symptoms but nervous because I have walked down this path once already. Glad to see the new group on NETs. Thanks.
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Glad to hear that good report, @preeti! Thanks for checking in.
Great to hear! Keep getting better and take care!
Hello @hopeful33250, sorry, I could not post an update over the last few days. I was discharged after 3 nights of hospital stay post surgery. I stayed at my sister’s place in Houston for 2 weeks and now back to home in NJ. I was able to start eating regular food after about a week post surgery. Recovery has been great so far and I am slowly gaining strength back. I continued to reduce taking pain meds and completely stopped after 10 days post surgery. Avoiding lifting heavy things and taking as much care as I could to avoid developing harnia. At some point, I noticed minor discharge at the drain wound and called up after hours number at Mayo. They were great to connect me to my surgeon’s team who were super helpful. They asked me to send a photo of the wound site and after looking at the picture, assured me that it’s healing well. Thanks for checking with me!
Hello @preeti
As you have not posted since the day after your surgery I wanted to touch base with you again. I'm wondering if you are still in the hospital and/or still in the Rochester, Minnesota area.
Will you post an update when you can?
Hello @preeti
I just wanted to check in with you to see how you are doing. I hope you continue to gain strength and are able to eat more.
Have you been given a date for discharge from the hospital?
This will actually be my 2nd Dotatate PET/CT. I had one when I first came to Mayo in January 2017 prior to my surgery in March 2017. I am a frequent patient at Mayo - we return on average about every 6 months. Again, I will say the care at Mayo is consistently outstanding! Very grateful this has become part of my journey. Yes, I will provide an update once I have more information. Thanks!
@ahtaylor
I appreciate you letting us know about your return trip to Mayo Clinic. Will this be your first Dotatate PET/CT?
Will you post again with an update?
A quick update for the group as I don't think I have posted one in a while. My insulinoma journey continues. . . I will be turning to Mayo the first week in April for the continued search insulinoma(s) that have been identified in a Calcium Stimulation test but continue to hide from view in imaging. A full week of testing this time for a more aggressive approach to try to locate the tumor(s). The plan includes Dotatate PET/CT, supervised fast, Calcium Stimulation test and a visit with Dr. Vella (endocrinologist) and Dr. MacKenzie (surgeon). After a fairly severe hypoglycemia episode in November 2019, I started Lanreotide (Somatostatin analog) to assist with the hypoglycemia. After 8 months, I had an allergic reaction to the medication. After taking a couple of months off any medication, I was started on a second medication in the same drug class (Octreotide) and after 5 months had a severe allergic reaction. Needless to say, I am no longer on medication for the hypoglycemia. I am eagerly but anxiously anticipating my upcoming appointments. The plan is to see if the tumor(s) that has been hiding since my surgery in 2017 can be found as well as to see if there is any metastasis outside the pancreas and when/if found if there are surgical options. Certainly has been a journey and the journey continues! So glad to have Mayo Clinic as part of the journey - the care is outstanding and I know I am in great hands!
Preeti So glad to hear your surgery went well and your experience at Mayo has been a great one! I have consistently had great care every time I have been. Keep walking and getting better! Best wishes for a speedy recovery.
Hello @preeti,
So happy to hear from you! I am glad to hear that your surgery was successful but also happy that your experience with the Mayo staff was so positive. I'm glad that the encouragement that you received here on Connect helped you to make a decision to go forward with the travel arrangements as well as the surgery.
I'll continue to think (and pray) for you as you recover. I'm looking forward to your posts over the next few weeks.