For the patient in the preceding question, an insulin/glucose ratio of 0.5 was documented at 28 hours of fasting. Symptoms of mental obtundation developed concurrently and were reversed by oral glucose administration. Endoscopic ultrasonography demonstrated a 1.2 cm mass in the head of the pancreas. Appropriate management consists of which of the following?
A. Surgical enucleation of the tumor
B. Total pancreatectomy
C. Long-term octreotide administration
D. Primary radiotherapy
Answer:A
For the patient in the preceding question, an insulin/glucose ratio of 0.5 was documented at 28 hours of fasting. Symptoms of mental obtundation developed concurrently and were reversed by oral glucose administration. Endoscopic ultrasonography demonstrated a 1.2 cm mass in the head of the pancreas. Appropriate management consists of which of the following?
A. Surgical enucleation of the tumor B. Total pancreatectomy C. Long-term octreotide administration D. Primary radiotherapy