[Extrapancreatic tumour-induced hypoglycaemia].
A 53-year-old non-diabetic man was admitted with hypoglycaemia, neuroglycopenic symptoms and acromegaloid facial swelling. Serum insulin concentration was suppressed, but the free concentration of insulin-like growth factor (IGF-II) was markedly elevated. CT scan demonstrated a large tumour in the liver. The histology showed a benign, solid, fibrous tumour. A hemihepatectomy was performed, and a 3.6 kg tumour was removed. Postoperatively, the blood glucose concentration and the concentration of free IGF-II returned to normal and the acromegaloid facial features disappeared.
Storstrøms Sygehus, Medicinsk afdeling, Arhus Universitetshospital, Medicinsk Forskningslaboratorium, Klinisk Institut og H:S Rigshospitalet, Patologiafdeling PA, og Kirurgisk Gastroenterologisk Klinik CTX .
Rasmus
R
Rabøl
Jens Frystyk
JF
Nielsen
Preben
P
Kirkegaard
Anders Mellon
AM
Mogensen
Klaus
K
Johansen
D003937:Diagnosis, Differential; D005350:Fibroma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006498:Hepatectomy; D006801:Humans; D007003:Hypoglycemia / Q000175:diagnosis / Q000209:etiology*; D007335:Insulin-Like Growth Factor II / Q000032:analysis; D008113:Liver Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D008297:Male; D008875:Middle Aged
D007335:Insulin-Like Growth Factor II