Anabolic steroid abuse and pancreatic insulinoma
DOI:
https://doi.org/10.12775/MBS.2016.015Keywords
insulinoma, anabolic steroids, bodybuilderAbstract
Background. Anabolic steroid abuse is very common among bodybuilders and is related with a number of medical complications including tumorgenesis.
Case report. A 29-year-old male bodybuilder with one year history of abusing large doses of anabolic steroids presented with several episodes of neuroglycopenia with concomitant loss of consciousness. Results of imaging studies (USG, MRI, EUS) showed smooth-demarcated, focal solid lesion of 2cm in diameter in the body of the pancreas. The patient was characterized by Whipple's triad (hyperinsulinemia accompanied by hypoglycemia and signs of symptoms resolving upon glucose administration). No other disturbances were observed. The patient was qualified for the surgical treatment. Intraoperatively, tumor enucleation was performed. Postoperative time was complicated by pancreatic fistula that required reoperation involving Roux pancreaticojejunostomy. The pathological examination revealed encapsulated benign neuroendocrine tumor. The patient has been followed up for 3 years and remained disease free.
Conclusion. Given the widespread use anabolic steroids among bodybuilder, another potentially life-threatening tumor is highlighted. Insulinoma has not been previously reported in athletes. Bodybuilders should be aware of the serious medical risks including neuroendocrine tumors.References
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