关键词: 胰高血糖素瘤综合征, 溶解坏死性游走性红斑, 糖尿病

Abstract:

Glucagonoma syndrome：A report of one case and review of literature        ZHOU Wen-tao*，LI Chu-shi，KUANG Tian-tao，et al. *Department of General Surgery , Zhongshan Hospital of Fudan University, Shanghai 200032, China
Corresponding author：LOU Wen-hui，E-mail：lou.wenhui@zs-hospital.sh.cn
Abstract    Objective    To investigate the clinical features，diagnosis and treatments of glucagonoma. Methods    The clinical data of one patient with glucagnoma admitted in Zhongshan Hospital of Fudan University was analyzed retrospectively. Results    The patient had been misdiagnosed as dermatitis for many times. Although the patient got the typical symptoms of glucagonoma syndrome such as necrolytic migratory erythema，diabetes mellitus，anemia，weight loss and so on. Abdominal CT scan showed a tumor mass in pancreatic body and tail. After surgical removal of the tumor，the patient’s glucose level and systemic features resolved. Conclusion    Glucagonoma is very easy to get misdiagnosis because of its multiple clinical manifestations. Imaging examination is helpful for the diagnosis and surgical resection is still an effective method.

Key words: glucagonoma syndrome, necrolytic migratory erythema, diabetes mellitus