Patel Himanshu, Paracha Awais, Singhal Adit, Wang Kevin, Gostanian Nouneh
Internal Medicine, Northwell, New Hyde Park, USA.
Internal Medicine, Zucker School of Medicine at Hofstra/Northwell, Hempstead, USA.
Cureus. 2024 Apr 22;16(4):e58768. doi: 10.7759/cureus.58768. eCollection 2024 Apr.
The clinical Warburg effect is a rare occurrence in cancer biology where tumor cells primarily utilize glycolysis for energy production, leading to significant hypoglycemia and lactate formation. This presentation is associated with a poor prognosis for the patient. In this context, we describe the case of a 53-year-old woman with stage IV mantle cell lymphoma who developed the clinical Warburg effect with solely arrhythmia and without neurological symptoms. She received prompt treatment for glucose stabilization and underwent inpatient chemotherapy. This case underscores the importance of early intervention to reduce tumor burden and highlights the effectiveness of hemodialysis in stabilizing metabolic acidosis. Further investigation into this approach is warranted.
临床瓦伯格效应在癌症生物学中较为罕见,肿瘤细胞主要利用糖酵解来产生能量,导致严重低血糖和乳酸生成。这种表现与患者的预后不良相关。在此背景下,我们描述了一名53岁IV期套细胞淋巴瘤女性患者的病例,该患者仅出现心律失常而无神经症状,却发生了临床瓦伯格效应。她接受了迅速的血糖稳定治疗并接受了住院化疗。该病例强调了早期干预以减轻肿瘤负荷的重要性,并突出了血液透析在稳定代谢性酸中毒方面的有效性。有必要对这种方法进行进一步研究。