Severe Hypoglycemia and Hypokalemia in Association with Liver Metastases of Gastric Cancer
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- KATO Akihiko
- Renal, Endocrine and Metabolism Division, Shizuoka Cancer Center Hospital
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- BANDO Etsuro
- Gastric Surgery Division, Shizuoka Cancer Center Hospital
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- SHINOZAKI Shingo
- Renal, Endocrine and Metabolism Division, Shizuoka Cancer Center Hospital
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- YONEMURA Yutaka
- Gastric Surgery Division, Shizuoka Cancer Center Hospital
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- AIBA Motohiko
- Department of Pathology, Tokyo Women's Medical University Daini Hospital
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- FUKUDA Izumi
- Department of Medicine II, Tokyo Women's Medical University
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- HIZUKA Naomi
- Department of Medicine II, Tokyo Women's Medical University
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- KAMEYA Toru
- Pathology Division, Shizuoka Cancer Center Hospital
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We report an 80-year-old man who presented with non-islet cell tumor hypoglycemia (NICTH) in association with hepatic recurrence of gastric cancer. His serum potassium was reduced from 3.9 to 3.1 mmol/l 5 weeks after gastrectomy, and he subsequently developed hypoglycemic coma. He was diagnosed as having NICTH because of the presence of serum big IGF-II and positive staining for IGF-II in gastric cancer cells obtained at surgery. A computed tomography showed multiple liver metastases. His hypoglycemia was refractory to steroid therapy. This case suggested that NICTH could develop in association with hepatic metastases of gastric cancer. Unexpected hypokalemia may be a manifestation of occult NICTH.
収録刊行物
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- Internal Medicine
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Internal Medicine 43 (9), 824-828, 2004
一般社団法人 日本内科学会
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詳細情報 詳細情報について
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- CRID
- 1390282679845871360
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- NII論文ID
- 130000085092
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- NII書誌ID
- AA10827774
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- COI
- 1:STN:280:DC%2BD2cris1yltA%3D%3D
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- ISSN
- 13497235
- 09182918
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- NDL書誌ID
- 7095629
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- PubMed
- 15497518
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- NDL
- Crossref
- PubMed
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可