IGF-II PRODUCING HEPATIC FIBROSARCOMA ASSOCIATED WITH HYPOGLYCEMIA

被引:17
作者
KOTANI, K
TSUJI, M
OKI, A
KASHIHARA, T
YAMADA, K
KAWAKAMI, F
TAKO, H
OKUNO, G
HIZUKA, N
AIBA, M
KASUGA, M
机构
[1] Second Department of Internal Medicine, Kobe University, Kobe
[2] Department of Internal Medicine, Itami City Hospital, Itami
[3] Department of Pathoiogy, Itami City Hospital, Itami
[4] Department of Surgery, Itami City Hospital, Itami
[5] Second Department of Internal Medicine, Tokyo Women's Medical College, Tokyo
[6] Department of Surgical Pathology, Tokyo Women's Medical College, Tokyo
关键词
HEPATIC FIBROSARCOMA; HYPOGLYCEMIA; INSULIN-LIKE GROWTH FACTOR-II (IGF-II); TRANSCATHETER ARTERIAL EMBOLIZATION (TAE);
D O I
10.2169/internalmedicine.32.897
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 67-year-old male was admitted with the complaint of weakness at hunger early in the morning, when blood glucose was less than 40 mg/dl. The abdominal ultrasonogram and computerized tomogram demonstrated a huge tumor in the right liver lobe. Hypoglycemia disappeared after transcatheter arterial embolization. Then hepatic lobectomy was performed. The tumor was histologically shown to be a fibrosarcoma. Insulin-like growth factor-II was intensely stained in the Golgi area of the tumor cells, suggesting its role in the mechanism of hypoglycemia.
引用
收藏
页码:897 / 901
页数:5
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