Glucagonoma is a rare type of pancreatic neuroendocrine tumour that causes the overproduction of glucagon, a hormone that raises blood sugar levels. This excess production can lead to significant metabolic disturbances and distinct skin-related symptoms.
Early diagnosis is crucial, as it significantly improves treatment outcomes and helps manage complications more effectively. The treatment approach depends on the stage of the disease. For localised tumours, surgical removal is the primary treatment. For advanced or inoperable cases, or to manage symptoms before surgery, a multidisciplinary approach is used, combining medical therapy and nutritional support.
Treatment for glucagonoma generally involves a combination of medication and surgery, depending on the stage and spread of the tumour. Let us explore the treatment options in detail below:
Glucagonoma is extremely rare. According to the National Institutes of Health (NIH), the incidence is approximately 1 in 20 million people per year worldwide, although earlier data suggested 1 in 1 million. Most cases are diagnosed in individuals between 50 and 70 years of age, and women are slightly more frequently affected than men.
Glucagon plays a key role in balancing the effects of insulin by increasing blood glucose levels. Excess glucagon leads to a variety of symptoms, most notably:
In addition to these, glucagonoma can cause neurological and psychiatric symptoms, including:
The exact cause of glucagonoma is unknown. However, approximately 10% of cases are associated with an inherited condition called multiple endocrine neoplasia type 1 (MEN1).
Diagnosis usually involves a combination of:
Early detection is essential to prevent complications and metastasis.
Timely treatment of glucagonoma is essential for improving patient outcomes. Surgical resection offers the best prognosis when feasible. For advanced or inoperable cases, medical therapy and targeted treatments help manage symptoms and slow tumour progression. Continuous follow-up, early intervention, and a team-based approach ensure the best chance of long-term survival and quality of life.