The case of a patient with a large goitre associated with hypercalcito
ninaemia and fasting hypoglycaemia is reported. Pentagastrin (PG) test
was negative. Repeated measurements of fasting glycaemia, insulin and
C peptide established the diagnosis of insulinoma. After localization
by endoscopic ultrasonography, a distal pancreatectomy was performed
and a small insulinoma was recovered. Glycaemia and calcitonin (CT) be
came normal. The tumour cells displayed a strong immunoreactivity for
insulin and CT. Cytogenetical evaluation of the tumour revealed a tran
slocation t(1;9) (p13;p22).