Hypoglycemia, the first presenting sign of hepatocellular carcinoma.
Hypoglycemia is a well-known paraneoplastic manifestation of hepatocellular carcinoma usually occurring in the terminal stages of the disease. However, during initial presentation this manifestation is uncommon. We report a 77-year-old man who presented with signs and symptoms of severe hypoglycemia for example drowsiness. After clinical work-ups, we detected a large mass in the liver. Interestingly, after surgical excision of the tumor, the attacks of decreased level of consciousness and hypoglycemia seized.
Department of Surgery, Faghihi Hospital, Shiraz, Iran.
Saman
S
Nikeghbalian
Alimohammad
A
Bananzadeh
Hooman
H
Yarmohammadi
D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000175:diagnosis*; D006801:Humans; D007003:Hypoglycemia / Q000209:etiology*; D008113:Liver Neoplasms / Q000175:diagnosis*; D008297:Male