Does Metastasis of insulinoma can produce an insulin and cause the hypoglycemia syndrome after elimination of primary tumor?

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Victor Andia

Yes, if they are functioning.

Kind regards

Don Juravin

Yes, an insulinoma can spread locally by satellite extension (which can be missed at surgery) as well as distally. Any insulinoma tissue that is not removed or recurs will likely produce insulin and can be enough to cause hypoglycemia.