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