SPONTANEOUS HYPOGLYCEMIA ASSOCIATED WITH FIBROGENIC TUMOR: REPORT OF TWO CASES

Abstract

Case Reports1 April 1957SPONTANEOUS HYPOGLYCEMIA ASSOCIATED WITH FIBROGENIC TUMOR: REPORT OF TWO CASESDONALD A. SCHOLZ, M.D., LEWIS B. WOOLNER, M.D., JAMES T. PRIESTLEY, M.D.DONALD A. SCHOLZ, M.D.Search for more papers by this author, LEWIS B. WOOLNER, M.D.Search for more papers by this author, JAMES T. PRIESTLEY, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-46-4-796 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe clinical signs and symptoms associated with hypoglycemia are well documented in recent clinical reviews.1-3The common causes of organic hypoglycemia include (1) hyperinsulinism due to a functioning tumor of the pancreatic islet cells, (2) hypofunction of the anterior lobe of the pituitary gland, (3) hypofunction of the adrenal cortex, and (4) hepatic disease. On rare occasions a fibrogenic tumor, which may arise anywhere in the thorax or retroperitoneal region, can be associated with symptoms of hypoglycemia. We have encountered two patients with fibrogenic tumors whose presenting symptoms were due to recurrent hypoglycemia. In one of these cases, surgical removal...Bibliography1. CrainThorn ELGW: Functioning pancreatic islet cell adenomas: a review of the literature and presentation of two new differential tests, Medicine 28: 427-447 (Dec.) 1949. CrossrefMedlineGoogle Scholar2. Howard JE: Differential diagnosis and therapy of spontaneous hypoglycemia, Veterans Admin. Tech. Bull. No. 10-108, 8: 1-19 (Apr. 30) 1955. Google Scholar3. ConnSeltzer JWHS: Spontaneous hypoglycemia, Am. J. Med. 19: 460-478 (Sept.) 1955. CrossrefMedlineGoogle Scholar4. Arkless HA: Coincidence of rhabdomyofibroma of the diaphragm, idiopathic hypoglycemia and retroperitoneal sarcoma, M. Bull. Veterans Admin. 19: 225-229 (Oct.) 1942. Google Scholar5. 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Vallance-OwenHurlockPlease JBNW: Plasma-insulin activity in diabetes mellitus, Lancet 2: 583-587 (Sept. 17) 1955. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Rochester, Minnesota*Received for publication October 10, 1956.From the Sections of Medicine, of Surgical Pathology and of Surgery, Mayo Clinic and Mayo Foundation, Rochester, Minnesota.The Mayo Foundation, Rochester, Minnesota, is a part of the Graduate School of the University of Minnesota.Requests for reprints should be addressed to Section of Publications, Mayo Clinic, Rochester, Minnesota.†Referred by Dr. Robert J. Reed, Des Moines, Iowa. 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LIPSETT, M.D., F.A.C.P., WILLIAM D. ODELL, M.D., LEON E. ROSENBERG, M.D., THOMAS A. WALDMANN, M.D.Hypoglycaemia with Wilms' TumourHypoglycemia associated with neoplasiaThe physiologic basis for evaluation of “fasting hypoglycemias”Hepatic Carcinoma Simulating HyperparathyroidismA FIBROSARCOMA WITH HYPOGLYCÆMIA AND A HIGH SERUM-INSULIN LEVELHypoglycemia Associated with Carcinoma of the Cecum and Syndrome of Testicular FeminizationOn the Cause of Death in Cancer: Systemic Effects of Nonendocrine Tumors**Aided by U.S. Public Health Service Grant Number A-5122.††Based on the Hodgen Lecture delivered before the St. Louis Surgical Society, March 6, 1962.Islet-cell tumors of the pancreas associated with hyperinsulinismHypoglycemia and Polycythemia Associated with Primary HepatomaFunctional islet cell carcinoma metastasizing as spindle cell tumorHyperinsulinismFibrogenic mesodermal tumors, an unusual cause of hyperinsulinismSOME UNUSUAL SYNDROMES ASSOCIATED WITH NEOPLASTIC DISEASE*G. LENNARD GOLD, M.D., BRUCE I. SHNIDER, M.D.Mesotheliomas and extraovarian thecomas with hypoglycemic and nephrotic syndromesHypoglycemia Associated with Massive Intra-Abdominal Mesothelial-Cell SarcomaSevere Hypoglycemia Secondary to a Nonpancreatic Fibrosarcoma with Insulin Activity 1 April 1957Volume 46, Issue 4Page: 796-807KeywordsCellsGraduate medical educationHyperinsulinemiaHypoglycemiaPancreasPituitary glandSigns and symptomsSurgerySurgical pathologyThorax ePublished: 1 December 2008 Issue Published: 1 April 1957 PDF downloadLoading ...