Ságová I, Klimentová A, Prídavková D, Kantárová D, Sadloňová J, Galajda P, Mokáň M
Interna Klinika Jesseniovej Lekarskej Fakulty UK a UN Martin, Slovenska Republika.
Vnitr Lek. 2013 May;59(5):402-6.
Paraneoplastic hypoglyacemia (PH) is a relatively rare phenomenon, which may be caused by insulinomas or nonislet cell tumours (NICT). Both types are among the major "fasting" hypoglyacemia as opposed to reactive postprandial hypoglyacemia. The most common group of nonislet cell tumours causing hypoaglycemia are large mesenchymal tumours, which account for over 50 % of all neoplasms associated with hypoglyacemia. Neuroglycopenic symptoms in patients with NICT may be present for months or years before the actual diagnosis of the underlying disease. Differentiation and correct diagnosis of this type of disease leads to significant improvement in the quality of life of these patients.
副肿瘤性低血糖症(PH)是一种相对罕见的现象,可能由胰岛素瘤或非胰岛细胞瘤(NICT)引起。这两种类型均属于主要的“空腹”低血糖症,与餐后反应性低血糖症相对。导致低血糖症的最常见非胰岛细胞瘤组是大型间叶组织肿瘤,占所有与低血糖症相关肿瘤的50%以上。NICT患者的神经低血糖症状可能在实际诊断出潜在疾病之前数月或数年就已出现。对这类疾病进行鉴别和正确诊断可显著改善这些患者的生活质量。