Severe Hypoglycemia and Hypokalemia in Association with Liver Metastases of Gastric Cancer
スポンサーリンク
概要
- 論文の詳細を見る
We report an 80-year-old man who presented with non-islet cell tumor hypoglycemia (NICTH) in association with hepatic recurrence of gastric cancer. His serum potassium was reduced from 3.9 to 3.1 mmol/l 5 weeks after gastrectomy, and he subsequently developed hypoglycemic coma. He was diagnosed as having NICTH because of the presence of serum big IGF-II and positive staining for IGF-II in gastric cancer cells obtained at surgery. A computed tomography showed multiple liver metastases. His hypoglycemia was refractory to steroid therapy. This case suggested that NICTH could develop in association with hepatic metastases of gastric cancer. Unexpected hypokalemia may be a manifestation of occult NICTH.
- 社団法人 日本内科学会の論文
- 2004-09-01
著者
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Fukuda Izumi
The Department Of Medicine Ii Tokyo Women's Medical University
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HIZUKA Naomi
the Department of Medicine, Institute of Clinical Endocrinology, Tokyo Women's Medical University
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Hizuka Naomi
The Department Of Medicine Ii Tokyo Women's Medical University
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Kameya Toru
The Pathology Division Shizuoka Cancer Center Hospital
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KATO Akihiko
the Renal, Endocrine and Metabolism Division, Shizuoka Cancer Center Hospital
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BANDO Etsuro
the Gastric Surgery Division, Shizuoka Cancer Center Hospital
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SHINOZAKI Shingo
the Renal, Endocrine and Metabolism Division, Shizuoka Cancer Center Hospital
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YONEMURA Yutaka
the Gastric Surgery Division, Shizuoka Cancer Center Hospital
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AIBA Motohiko
the Department of Pathology, Tokyo Women's Medical University Daini Hospital
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Fukuda Izumi
The Department Of Medicine
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Aiba Motohiko
The Department Of Pathology Tokyo Women's Medical University Daini Hospital
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Shinozaki Shingo
The Renal Endocrine And Metabolism Division Shizuoka Cancer Center Hospital
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Bando Etsuro
The Gastric Surgery Division Shizuoka Cancer Center Hospital
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Aiba Motohiko
The Department Of Pathology Tokyo Women's Medical College Daini Hospital
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Yonemura Yutaka
The Gastric Surgery Division Shizuoka Cancer Center Hospital
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Kato Akihiko
The Renal Endocrine And Metabolism Division Shizuoka Cancer Center Hospital
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