Kahlon Arunpreet Singh, Alexander Mariam, Kahlon Arundeep, Wright Jonathan
Departments of Medicine (A. S. Kahlon, Alexander, A. Kahlon) and Hematology/Oncology (Wright), State University New York-Upstate Medical University, Syracuse, New York.
Proc (Bayl Univ Med Cent). 2016 Jul;29(3):313-4. doi: 10.1080/08998280.2016.11929449.
A 37-year-old woman with known glioblastoma multiforme was admitted for treatment of new deep vein thrombosis. Anion gap and plasma lactate levels were found to be elevated. Magnetic resonance imaging of the brain showed a stable, advanced glioblastoma multiforme. All causes of lactic acidosis, including infections and medications, were ruled out. Aggressive tumors have been shown to produce lactate levels in minute quantities in their microenvironment, which helps them metastasize and evade immune response and even radiation.
一名患有多形性胶质母细胞瘤的37岁女性因新发深静脉血栓形成入院治疗。发现阴离子间隙和血浆乳酸水平升高。脑部磁共振成像显示多形性胶质母细胞瘤处于稳定的晚期阶段。排除了包括感染和药物在内的所有导致乳酸性酸中毒的原因。研究表明,侵袭性肿瘤在其微环境中会产生微量乳酸,这有助于它们转移、逃避免疫反应甚至辐射。