昭和医学会雑誌
Online ISSN : 2185-0976
Print ISSN : 0037-4342
ISSN-L : 0037-4342
自発的低血糖発作を頻発した原発性肝癌の一例
杉田 玄米倉 正博志和池 成世中神 和清木庭 康辻 正富杉田 蕗子河本 英世永野 聖司菊池 敏夫光谷 俊幸太田 秀一山田 満昭小田切 光男風間 和男
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1975 年 35 巻 4 号 p. 343-349

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A 70 aged woman who had been suffered from recurrent spontaneous hypoglycemic attack proved massive hepatoma (3770 gr) by clinical study and autopsy. Her metabolic exermination, blood glucose lacked its normal rise to glucagons stimmulation, exceed glucose was needed to regulated normal blood glucose level on intravenous glucose infusion test.
These facts supposed to be caused by decreased glycogen volume among served liver and over-utilization of glucose due to extensive growth of the massive hepatoma.
This mechanism can cause serious spontaneous hypoglycemic attack.
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