Jobe B A, Bierman M H, Mezzacappa F J
Department of Internal Medicine, Creighton University, Omaha, Nebraska.
Nebr Med J. 1993 Nov;78(11):349-51.
A case of renal cell carcinoma presenting with severe hyperglycemia, ketoacidosis, and hyperosmolar coma is described. Hyperglycemia was difficult to control but improved dramatically after nephrectomy and required no further insulin therapy. Hyperglycemia as a paraneoplastic endocrinopathy in renal cell carcinoma is suggested.
本文描述了一例表现为严重高血糖、酮症酸中毒和高渗性昏迷的肾细胞癌病例。高血糖难以控制，但肾切除术后显著改善，且无需进一步胰岛素治疗。提示高血糖可能是肾细胞癌的一种副肿瘤性内分泌病。
