Severe hypoglycemia with “Big”-IGF-2 oversecretion by a giant phyllode tumor of the breast: A rare case of non-islet cell tumor-induced hypoglycemia (NICTH)

2012 ◽  
Vol 73 (5) ◽  
pp. 488-491 ◽  
Author(s):  
Emeline Renard ◽  
Christelle Langbour-Remy ◽  
Marc Klein ◽  
Yves Le Bouc ◽  
Georges Weryha ◽  
...  
2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
M. D. S. A. Dilrukshi ◽  
A. W. Wickramarachchi ◽  
D. D. K. Abeyaratne ◽  
Brian Shine ◽  
Bahram Jafar-Mohammadi ◽  
...  

Introduction. Adrenocortical carcinomas (ACCs) are infrequently reported to present with severe hypoglycemia syndrome resulting from the secretion of insulin-like growth factor II (IGF-II) by tumor cells. Adrenocorticotropic hormone- (ACTH) independent hypercortisolism is the norm of hormonally active ACCs, but aberrant ACTH production by tumor cells can theoretically cause ACTH-dependent hypercortisolism. The purpose of this report was to present a case of an ACC manifested with the co-occurrence of two extremely rare presentations. Case Description. We present a rare case of a 43-year-old male patient admitted with recurrent episodes of severe non-ketotic and non-insulin-mediated hypoglycemia due to IGF-II mediated disease and ACTH-dependent Cushing’s syndrome. He was diagnosed with a diffusely disseminated adrenocortical carcinoma with immunohistochemistry of tumor cells showing focal ACTH immunostain positivity. Conclusion. Non-islet cell tumor hypoglycemia and ACTH-dependent Cushing’s syndrome are extremely rare presentations of an ACC, and co-occurrence of these entities in a single patient is never reported in the literature.


PEDIATRICS ◽  
1971 ◽  
Vol 48 (2) ◽  
pp. 232-236
Author(s):  
M. J. Robinson ◽  
A. Murray Clarke ◽  
Hugo Gold ◽  
J. F. Connelly

Islet cell adenoma is a rare cause of severe neonatal hypoglycemia. Two cases are reported and difficulties in diagnosis are outlined. In one infant, cure followed subtotal pancreatectomy at the age of 19 days. It is suggested that severe hypoglycemia of obscure origin persisting beyond the age of 2 weeks in a newborn infant of normal birth weight and not responding to standard medical measures, justifies exploration of the pancreas. Even if an islet-cell tumor is not identified, subtotal pancreatectomy is indicated.


Author(s):  
Imen Rojbi ◽  
Wiem Ben Elhaj ◽  
Nadia Mchirgui ◽  
myriam jrad ◽  
Ibtissem Ben Nacef ◽  
...  

Non-islet cell tumor hypoglycemia (NICTH) is a rare but severe complication of malignancy. We present the case of 55 year old man who was admitted for severe hypoglycemia. The diagnosis of insulinoma was ruled out. After clinical work-ups, we made the diagnosis of metastatic HCC with production of IGF-2.


2021 ◽  
Vol 68 (8) ◽  
pp. 589-591
Author(s):  
Roberto Sierra-Poyatos ◽  
Jersy Cárdenas-Salas ◽  
Maite Ortega-Juaristi ◽  
Clotilde Vázquez-Martínez

2017 ◽  
Author(s):  
Veysi Asoglu ◽  
Mehmet Celik ◽  
Buket Yilmaz Bulbul ◽  
Semra Ayturk ◽  
Funda Ustun ◽  
...  

Author(s):  
Roberto Sierra-Poyatos ◽  
Jersy Cárdenas-Salas ◽  
Maite Ortega-Juaristi ◽  
Clotilde Vázquez-Martínez

2007 ◽  
Vol 46 (13) ◽  
pp. 1061-1061 ◽  
Author(s):  
Motoko Kanzaki ◽  
Hiromi Kashihara ◽  
Katsuyuki Kiura ◽  
Kazutoshi Murakami ◽  
Hiromi Iwagaki ◽  
...  

Diabetes ◽  
1976 ◽  
Vol 25 (5) ◽  
pp. 408-412 ◽  
Author(s):  
A. Tiengo ◽  
D. Fedele ◽  
E. Marchiori ◽  
R. Nosadini ◽  
M. Muggeo

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