Two autopsy cases of hepatocellular carcinoma with hypoglycemic attack

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  • KIM Chung Ii
    First Department of Pathology, Osaka University Medical Schoo
  • IIOKA Sogo
    First Department of Pathology, Osaka University Medical Schoo
  • SAKURAI Masami
    First Department of Pathology, Osaka University Medical Schoo
  • MIYAJI Tohru
    First Department of Pathology, Osaka University Medical Schoo
  • MINAMI Yuzo
    Department of Internal Medicine, Higashi-Osaka Central Hospital
  • MIYASHITA Takeshi
    Department of Internal Medicine, Toyonaka Municipal Hospital

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Other Title
  • 低血糖発作を伴った原発性肝癌の2剖検例-組織化学的考察を主として
  • テイ ケットウ ホッサ オ トモナッタ ゲンパツセイ カンガン ノ 2 ボウケ

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Abstract

This reports two autopsy cases of primary hepatocellular carcinoma with hypoglycemic attack. The first case was a 46-year-old male and the total duration of illness was 50 days since hypoglycemic attack. The second case was a 58-year-old female and the total duration of illness was 40 days since the attack. On physical and laboratory examination, both cases were diagnosed as hepatocellular carcinoma, but the pathogenesis of hypoglycemic attackwas obscure.<BR>At autopsy, the first case had a diffuse type of hepatocellular carcinoma with Nagayo's B type cirrhosis weighing 4, 700 gm, and the second case had a massive type of hepatocellular carcinoma with Nagayo's B type cirrhosis weighing 2, 500 gm.<BR>Edmondsoo's grading for hepatocellular carcinoma of the two cases was grade III.<BR>The pancreas of both cases revealed hyperplastic islets and increased B-cell granules.<BR>We discussed the pathogenesis of hypoglycemia on primary hepatocellular carcinoma.

Journal

  • Kanzo

    Kanzo 17 (7), 528-535, 1976

    The Japan Society of Hepatology

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