Davda R, Seddon B M
London Bone and Soft Tissue Tumour Service, Department of Oncology, University College Hospital, London, UK.
Clin Oncol (R Coll Radiol). 2007 May;19(4):265-8. doi: 10.1016/j.clon.2006.12.008. Epub 2007 Jan 12.
Tumour-related hypoglycaemia is a rare paraneoplastic phenomenon most frequently occurring with insulinomas, but also associated with non-islet cell tumours. It has been observed in a range of tumour types, but recently a small number of cases have been described in association with gastrointestinal stromal tumours. We describe a further case of a patient with gastrointestinal stromal tumour that was complicated by non-islet cell tumour hypoglycaemia, and discuss the mechanisms and management of non-islet cell tumour hypoglycaemia in the context of gastrointestinal stromal tumour.
肿瘤相关性低血糖是一种罕见的副肿瘤现象,最常发生于胰岛素瘤,但也与非胰岛细胞瘤有关。它已在一系列肿瘤类型中被观察到,但最近有少数病例被描述为与胃肠道间质瘤相关。我们描述了另一例胃肠道间质瘤患者并发非胰岛细胞瘤低血糖的病例,并在胃肠道间质瘤的背景下讨论了非胰岛细胞瘤低血糖的机制和管理。