Non-islet-cell tumour induced hypoglycaemia: a case report and review of literature

Neth J Med. 1996 May;48(5):175-9. doi: 10.1016/0300-2977(95)00073-9.

Abstract

A 54-year-old man presented with a poorly differentiated adenocarcinoma of the rectum with multiple metastases to the liver. During hospitalization the patient developed periods of hypoglycaemia due to production of "big" IGF-II by the tumour. Possible pathophysiological mechanisms of non-islet-cell tumour-induced hypoglycaemia are discussed.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adenocarcinoma / complications*
  • Adenocarcinoma / physiopathology
  • Adenocarcinoma / secondary
  • Fatal Outcome
  • Humans
  • Hypoglycemia / etiology*
  • Insulin-Like Growth Factor Binding Protein 3 / metabolism
  • Insulin-Like Growth Factor I / metabolism
  • Insulin-Like Growth Factor II / metabolism
  • Liver Neoplasms / complications*
  • Liver Neoplasms / physiopathology
  • Liver Neoplasms / secondary
  • Male
  • Middle Aged
  • Rectal Neoplasms / pathology
  • Rectal Neoplasms / physiopathology

Substances

  • Insulin-Like Growth Factor Binding Protein 3
  • Insulin-Like Growth Factor I
  • Insulin-Like Growth Factor II