Paraneoplastic hyperinsulinism and secondary hypoglycaemia in a patient with advanced colon cancer: A rare association  

作　　者：Roberto Díaz Jorge Aparicio Andrea Mendizábal Marisa Faus Tania Fleitas Francisco Aparisi Maria Martín 

机构地区：[1]Medical Oncology Unit, University Hospital La Fe, Avenida Campanar 19-21, Valencia 46009, Spain [2]Internal Medicine Department, University Hospital La Fe, Avenida Campanar 19-21, Valencia 46009, Spain

出　　处：《World Journal of Gastroenterology》2008年第12期1952-1954,共3页世界胃肠病学杂志（英文版）

摘　　要：We review the case of a 74-year-old patient with ad-vanced colon cancer who suffered recurrent bouts of hypoglycemia. A state of inappropriate, non-suppressed hyperinsulinism in the presence of severe hypoglycemia was diagnosed. We finally discuss the known mecha-nisms behind fasting hypoglycemia in patients with ad-vanced cancer, the diagnosis, and possible treatments of this rare paraneoplastic endocrine complication.We review the case of a 74-year-old patient with ad- vanced colon cancer who suffered recurrent bouts of hypoglycemia. A state of inappropriate, non-suppressed hyperinsulinism in the presence of severe hypoglycemia was diagnosed. We finally discuss the known mechanisms behind fasting hypoglycemia in patients with advanced cancer, the diagnosis, and possible treatments of this rare paraneoplastic endocrine complication.

关 键 词：HYPOGLYCEMIA Colon cancer PARANEOPLASTIC HYPERINSULINISM Tumour markers 

分 类 号：R735.3[医药卫生—肿瘤]