Insulinoma: Una visión general.

Abstract

Insulinomas are the most common neuroendocrine tumors, most are benign and localized in the pancreas. They may be sporadic or associated with multiple endocrine neoplasia type 1 (MEN1). To make an early diagnosis it is key to consider it in the differential diagnosis of a non-diabetic patient who presents with hypoglycemia. The clinical presentation (Whipple’s triad), biochemical tests that show hyperinsulinemic hypoglycemia and the evidence of a mass in imaging studies are fundamental aspects for diagnosis. The only curative intervention is surgery, however, there are different therapeutic options such as ablation techniques with ethanol or radiofrequency ablation; medical treatment is also an option for patients who are not candidates for surgery.