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Treatment of haemangiopericytoma-associated hypoglycaemia with embolisation
P W.B. Nanayakkara1, J van Doorn, F G. van den Berg
1Department of Medical Oncology, Vrije Universiteit Medische Centrum, Postbus 7075, 1007 MB, Amsterdam, The Netherlands
A 48-year-old woman with a known history of metastatic haemangiopericytoma presented with intractable hypoglycaemia. Hypoglycaemia was accompanied by undetectable serum insulin levels with high levels of proforms of insulin-like growth factor-II ('big' IGF-II). Reduction of tumour load with embolisation resulted in a normal pattern of serum glucose levels throughout the day.
A 48-year-old woman with a known history of metastatic haemangiopericytoma presented with intractable hypoglycaemia. Hypoglycaemia was accompanied by undetectable serum insulin levels with high levels of proforms of insulin-like growth factor-II ('big' IGF-II). Reduction of tumour load with embolisation resulted in a normal pattern of serum glucose levels throughout the day.