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18.97.14.87
18.97.14.87
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Candidate
간으로 전이된 뇌막 혈관주위세포종 환자에서 발생한 저혈당 1 예
A case of hypoglycemia in a patient of hemangiopericytoma with hepatic metastasis
박성일(Sung Il Park),김남수(Nam Su Kim),류완희(Wan Hee Yoo),박태선(Tae Sun Park),백홍선(Hong Sun Back)
UCI I410-ECN-0102-2009-510-004709101

Tumour-induced hypoglycemia is usually caused by insulinoma or non-islet-cell neoplasm, such as hemangiopericytoma, fibrosarcoma, mesotheliomas. Most of the neoplasms in non-islet-cell tumour-induced hypoglycemia are mesenchymal type, and have a common features, including large-sized, slow-growing and metastatic involvement of the liver. The mechanisms of hypoglycemia in metastatic liver disease are not clearly defined, and liver failure secondary to hepatic metastasis or insulin or insulin-like mediated process are considered. Glucagon stimulation test has been used to distinguish between insulin-mediated or insulin-like-mediated hypoglycemia and hypoglycemia induced by liver failure. We experinced a case of hypoglycemia in a patient of hemangiopericytoma with liver metastasis in which glucagon stimulation test was used for proper evaluation. We compare this case with previously reported cases, and present here with brief review of literatures.(Korean J Med 59:319-324, 2000)

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