Insulinoma; Pancreas
Conditions
Keywords
endosonography, insulinoma, radiofrequency ablation
Brief summary
Transcutaneous and EUS-guided radiofrequency ablation are both modern modalities to apply in the managemnet of various malignancies. In the current study the investigators aim to study the technical feasibility, patient safety and clinical efficacy of EUS-RFA for the treatment of pancreatic insulinoma.
Detailed description
Patients (P): Alla patients referred to Sahlgrenska University Hospital for the diagnostic work-up and management of a suspected pancreatic insulinoma. Intervention (I): EUS-RFA Control group (C): Patients with insulinoma treated with conventional surgery during the time frame 2018-2025 (historic controls). Outcome (O): * Technical feasibility * Patient safety * Clinical efficacy (follow-up with biochemistry and imaging at 3, 6, 12, and 24 months post-EUS-RFA).
Interventions
Treatment of insulinoma by EUS-RFA
Sponsors
Study design
Eligibility
Inclusion criteria
* Insulinoma verified by pathology (often from EUS-FNB-sampling)
Exclusion criteria
* Patients unwilling to participate * Patients unable to understand and obtain written informed conscent * Severe comorbidity
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Clinical efficacy | 3-24 months post-EUS | Symptom-free survival after EUS-RFA (no clinical signs of residual disease, i.e. insulin-producing insulinoma cells) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient safety | 30 days post-EUS-RFA | Adverse evnt rate according to Clavien-Dindo at 30 days post-EUS-RFA |
| Imaging effect post-EUS-RFA with respect to tumor size | 3-24 months post-EUS-RFA | Imaging of the insulinoma by EUS post-EUS-RFA and thereby the assessment of tumor size |
| Imaging effect post-EUS-RFA with respect to tumor vascularization | 3-24 months post EUS-RFA | Imaging of the insulinoma by EUS post-EUS-RFA and thereby the assessment of remaining tumor vascularization |
Countries
Sweden