68Ga-NODAGA-Exendin-4 PET/CT Findings in a Case of Metastatic Insulinoma With Refractory Hypoglycemia Controlled by 90Y Transarterial Radioembolization.
case_report · Level V
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- Record sourced from PubMed, PMID 38967509.
- Also identified by DOI 10.1097/RLU.0000000000005266.
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Abstract
Metastatic insulinomas can cause recurrent hypoglycemia requiring continuous IV glucose infusion. Various medical and chemotherapeutic treatment options are used to reduce the patient's risk of death due to hypoglycemia. Treatment-resistant hepatic metastatic insulinomas may benefit clinically from 90Y transarterial radioembolization therapy. In this case, we present a case of liver metastatic insulinoma that achieved clinical improvement after 2 cycles of 90Y microspheres transarterial radioembolization, and the presence of active metastases was demonstrated with 68Ga-NODAGA-exendin-4 PET/CT imaging.
Medical subject headings
- Insulinoma
- Positron Emission Tomography Computed Tomography
- Embolization, Therapeutic
- Hypoglycemia
- Yttrium Radioisotopes
- Gallium Radioisotopes
- Exenatide