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Nesidioblastosis in the Adult Surgical Management
Author(s) -
J P Garcia,
T Franca,
Consiglieri Pedroso,
Carlos Cardoso,
M′Olímpia Cid
Publication year - 1997
Publication title -
hpb surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.561
H-Index - 26
eISSN - 1607-8462
pISSN - 0894-8569
DOI - 10.1155/1997/81239
Subject(s) - nesidioblastosis , medicine , pancreatectomy , pancreas , hyperinsulinemic hypoglycemia , immunohistochemistry , endocrine system , pathology , surgical pathology , general surgery , insulinoma , hypoglycemia , insulin , hormone
Nesidioblastosis is an exceedingly rare occurrence in the adult and, when it appears, it is usually part of a MEA1 syndrome. We present a case of nesidioblastosis in a young woman, with no concurrent endocrine pathology, while we discuss in detail the diagnostic and therapeutic problems posed by this condition. The selected treatment was sub-total pancreatectomy (70-80%) and the histopathologic and immunohistochemical tests of the surgical specimen showed: "Diffuse Nesidioblastosis". The histopathologic and immuno-histochemical features of the resected pancreas are analysed in detail.

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