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pubmed-article:16860583pubmed:abstractTextIn some patients with non-islet-cell tumor hypoglycemia (NICTH), a high molecular weight form of IGF-II (big IGF-II) derived from tumors is present in the circulation and might be associated with recurrent hypoglycemia. In this study, in order to survey the clinical characteristics of patients with IGF-II producing NICTH, we analyzed the medical records of 78 patients with NICTH (M/F 44/34, age 62+/-1.8, range; 9-86 years.) whose serum contained a large amount of big IGF-II. Hepatocellular carcinoma and gastric carcinoma were the most common causes of NICTH. The diameters of the tumors were more than 10 cm in 70% of the patients. Basal immunoreactive insulin (IRI) levels were less than 3 microU/dl in 79% of the patients. Hypoglycemic attack was the onset of disease in 31 of 65 cases (48%), but the tumor was revealed prior to the occurrence of hypoglycemia in 34 cases (52%). Twenty-five of 47 (53%) patients had decreased serum potassium levels. These data suggested that hypoinsulinemic hypoglycemia associated with the presence of a large tumor supports the diagnosis of IGF-II producing NICTH. Hypokalemia was associated with hypoglycemia in some patients. The BMI (21.4+/-0.6 kg/m2) and serum total protein levels (6.6+/-0.1g/dl) were preserved at the occurrence of first hypoglycemic attack suggesting that malnutrition might not be the main cause of hypoglycemia in most patients.lld:pubmed
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pubmed-article:16860583pubmed:dateRevised2008-11-21lld:pubmed
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pubmed-article:16860583pubmed:year2006lld:pubmed
pubmed-article:16860583pubmed:articleTitleClinical features of insulin-like growth factor-II producing non-islet-cell tumor hypoglycemia.lld:pubmed
pubmed-article:16860583pubmed:affiliationDepartment of Medicine, Institute of Clinical Endocrinology, Tokyo Women's Medical University, Tokyo, Japan.lld:pubmed
pubmed-article:16860583pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:16860583pubmed:publicationTypeResearch Support, Non-U.S. Gov'tlld:pubmed
pubmed-article:16860583pubmed:publicationTypeMulticenter Studylld:pubmed
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