Tumors Of Pancreas

Question 1

Tumors of the pancrease?

Answer 1

1. Exocrine (common)
   a. Benign adenoma
   b. Malignant adenocarcinoma cystadenocarcinoma
2. Endocrine
   a. Insulinoma
   b. Glucagonomas
   c. Vipoma (pancreatic cholera)
   d. Somatostatinoma

Question 2

Patient of insulinoma is ?

Answer 2

Obese cause insulin is anabolic

Hypoglycemic attacks

Question 3

Insulinoma is benign or malignant and why?

Answer 3

Mainly benign cause the patient is obese

Question 4

What is whipples triad in insulinoma?

Answer 4

1. Symptoms of hypoglycemia ( sweating anxiety tremor confusion coma)
2. During the attack blood glucose is <45 mg/dl
3. Improvement by giving glucose

Question 5

Investigations of insulinoma?

Answer 5

1. Insulin high
2. C peptide high
3. Serum glucose low
4. Insulin glucose ration >0.3
5. Localize the tumor CT

Question 6

Insulinoma in head of pancrease? Surgery?

Answer 6

Whipples operation .. pancreaticoduedenectomy

Question 7

If insulinoma in the tail of pancrease ?

Answer 7

Distal pancreactomy

Question 8

What is vipoma?

Answer 8

Pancreatic cholera

Question 9

How to dd cholera and vipoma?

Answer 9

People surrounding .. cholera is epidemic

Question 10

Investigations of endocrine everything is ?

Answer 10

1. Function

2. Imaging

Question 11

What is glucagonoma ?

Answer 11

Necrotizing skin lesion with uncontrolled DM

Question 12

What is somatostatinoma?

Answer 12

It is the bing of the GIT (anesthesia)

1. Achlorhydria
2. Pancreatic secretions are low
3. Malabsoption (steatorrhea)
4. Gall stones dt cholecystokinin