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[Adrenal carcinoma induced hypoglycemia]. / Hipoglucemia inducida por carcinoma adrenal.
Soutelo, Jimena; Saban, Melina; Borghi Torzillo, Florencia; Lutfi, Ruben; Leal Reyna, Mariela.
Afiliação
  • Soutelo J; Servicio de Endocrinología, Complejo Médico Churruca-Visca, Buenos Aires, Argentina. jimesoutelo@arnet.com.ar
Medicina (B Aires) ; 73(4): 339-42, 2013.
Article em Es | MEDLINE | ID: mdl-23924534
Adrenal carcinoma is a rare malignancy of poor prognosis. The most common clinical presentation is secondary to hormone production, while the development of symptomatic hypoglycemia is exceptional. We report the case of a 37 year old-woman admitted to hospital with severe hypoglycemia, hypertension, hypokalemia and amenorrhea. In the laboratory we found hypoglycemia, with low insulin levels, and androgen levels in tumor range. CT of abdomen and pelvis showed a heterogeneous lesion of solid appearance without a cleavage plane relative to liver parenchyma, and intense contrast enhancement. Retroperitoneal mass was removed, and the patient evolved without complications, blood glucose and potassium were normalized, blood pressure stabilized and menstrual cycles recovered.
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias do Córtex Suprarrenal / Carcinoma Adrenocortical / Hipoglicemia Tipo de estudo: Prognostic_studies Limite: Adult / Female / Humans Idioma: Es Revista: Medicina (B Aires) Ano de publicação: 2013 Tipo de documento: Article País de afiliação: Argentina País de publicação: Argentina
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias do Córtex Suprarrenal / Carcinoma Adrenocortical / Hipoglicemia Tipo de estudo: Prognostic_studies Limite: Adult / Female / Humans Idioma: Es Revista: Medicina (B Aires) Ano de publicação: 2013 Tipo de documento: Article País de afiliação: Argentina País de publicação: Argentina