Willcox P A, Immelman E J, Barron J L, Klaff L J, Harries-Jones E P, Hainsworth M, Millar R P
Department of Medicine, University of Cape Town, South Africa.
Q J Med. 1988 Jul;68(255):559-71.
A 47-year-old woman was admitted on four occasions over a four-year period with severe hyperglycaemia associated with marked ketoacidosis. She had weight loss with hepatomegaly and ultrasonography indicated a pancreatic tumour which was shown to be a somatostatinoma. Resection resulted in prolonged survival. The biochemical and morphological features of this rare tumour are presented, and an explanation for the unusual presentation of a somatostatinoma with episodes of ketoacidosis is given.
一名47岁女性在四年内四次因严重高血糖伴明显酮症酸中毒入院。她体重减轻且肝脏肿大，超声检查显示胰腺有肿瘤，经证实为生长抑素瘤。手术切除后患者生存期延长。本文介绍了这种罕见肿瘤的生化和形态学特征，并对生长抑素瘤伴酮症酸中毒发作的异常表现给出了解释。
