胰高糖素瘤临床上罕见,我院自1971至1990年收治胰岛素瘤18例,其中1例胰高糖素瘤综合征,即胰高血糖素瘤,手术切除胰体尾肿瘤后,糖尿病的临床表现依然存在,兹报告如下。病史摘要:患者男,38岁。多饮,多尿、烦渴、消瘦一月余,经超声、CT检查发现胰体尾囊实性肿块,无发烧、皮疹、腹泻病史。血糖10～15.5mmol/L,尿糖(艹)。拟诊为胰腺癌。因胰岛破坏致胰岛功能不足,用胰岛素治疗控制糖尿病后剖腹探查,发现胰体尾部肿瘤,约 Glucagonomas are rare clinically. 18 cases of insulinomas were treated in our hospital from 1971 to 1990. One of them was glucagonoma syndrome (glucagonoma). After surgical removal of pancreatic tumor, diabetes The clinical performance still exists and is reported below. Medical history summary: The patient is male, 38 years old. Drink more, more urine, polydipsia, weight loss more than a month, after ultrasound, CT examination revealed pancreatic body cystic solid mass, no fever, rash, diarrhea history. Blood glucose 10 to 15.5 mmol/L, urine sugar (艹). It is diagnosed as pancreatic cancer. Insufficiency of islet function due to pancreatic islet destruction, use of insulin therapy to control postdiabetic laparotomy and find pancreatic body and tail tumors.