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Japanese

A CASE OF HYPOGLYCEMIA ASSOCIATED WITH EXTRAPANCREATIC NEOPLASMA Yokichi YOSHIMURA 1 , Masanori IZURUMA 2 , Morio TSUKADA 3 , Katsuaki ITAKURA 4 1Neuropsychiatric Clinic, Kutchan Kosei Hospital 2Surgical Clinic, Kutchan Kosei Hospital 3The 2 nd Dept. of Surgery, Hokkaido Univ. School of Medicine 4The 1 st Dept. of Pathology, Hokkaido Univ. School pp.165-168
Published Date 1968/2/1
DOI https://doi.org/10.11477/mf.1406202347
  • Abstract
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A 56-year-old Japanese male had episodically ex-hibited a variety of symptoms including disturbances of consciousness ranging from twilignt state to sud-den onset of coma and, at times, generalized convul-sive seizure. It was soon noticed that these symptoms take place exclusively in early morning and are readily removed by the injection of hypertonic glucose solution. Blood glucose content during at-tack was 8 to 30 mg/dl. Clinical and laboratory examinations revealed no particular abnormalities other than a large tumor-like shadow on X-ray picture at the left, lower part of the thorax.

A surgical operation was performed just one month after the first onset of the symptoms. The pancreas and other organs were found apparently intact and, instead, a giant tumor, 18×20×8cm in size and 1,150 gr. in weight, developing from the dorsal surface of the left pleura at the level of the 6 th intercostal space was discovered. Histologically, it was recognized as a fibrom. The patient has corn-letely been free from any troubles since the extir-pation of the tumor.


Copyright © 1968, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 2185-405X 印刷版ISSN 0006-8969 医学書院

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