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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Insulinoma Or Gastrinoma

I have neuroendocrine type tumour in pancreas. I had 3 MRI scans. Awaiting gastrin blood test. My sugar started droping to 3.3 after meal or before meal. I have left side pain under the ribs I dont know what to do? They query insulinoma or gastrinoma.

Mon, 1 Feb 2010
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  User's Response
's  Response

if you are at a major medical center there is a procedure called an endoscopy with ultrasound that can see all the way down to the pancreas to see if you have any tumors there.  Also how is your calcium, gastrin, and parathroid thyroid levels this is some of the testing you should consider and also possible have a work up for multiple endocrine neoplasia type 1. For more info go to www.multipleendorineneoplasia.org      Linda@hagemanfoundation.org

  Anonymous's Response
Anonymous's  Response

it is a very difficult to make diagnosis of insulinoma and also it is very difficult to treate the insulinoma, because the tumor will be less than the size of a milimiter and there will me many tumors in the same area, so it is a challenging to doctor to treat such patients,


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Insulinoma Or Gastrinoma

if you are at a major medical center there is a procedure called an endoscopy with ultrasound that can see all the way down to the pancreas to see if you have any tumors there. Also how is your calcium, gastrin, and parathroid thyroid levels this is some of the testing you should consider and also possible have a work up for multiple endocrine neoplasia type 1. For more info go to www.multipleendorineneoplasia.org Linda@hagemanfoundation.org