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在91岁的老人身上,IGF-II分泌的膀瘤呈现为跌倒
Endocrinology, diabetes & metabolism case reports
|December 2, 2025
概括
一种罕见的分泌胰岛素样生长因子II (IGF-II) 的膀瘤,在一位老年患者中引起了瘤性低血糖症. 当手术不是一种选择时,成功的医疗管理得到了实现,突出显示了一种新的治疗方法.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 老年病的医生 老年病的医生
背景情况:
- 胰岛素样生长因子II (IGF-II) 分泌的瘤会导致瘤性低血糖症.
- 这些瘤很少见,通常是介质细胞或上皮细胞,但很少与膀癌有关.
- 复发性低血糖症需要调查瘤性病因,特别是在脆弱的老年患者中.
研究的目的:
- 报告一种罕见的IGF-II分泌膀瘤导致低血糖的病例.
- 讨论老年患者的诊断和管理挑战.
- 突出成功的医疗管理,当手术切除是不可行的.
主要方法:
- 一个91岁的妇女的病例报告,患有盆腔疼痛和复发性低血糖症.
- 诊断工作包括成像和生物化学,以确定IGF-II分泌的膀瘤.
- 在患者拒绝手术后,管理涉及医疗治疗.
主要成果:
- 一名91岁的女性患者被诊断出患有IGF-II分泌的膀非岛屿细胞瘤.
- 瘤被确定为复发性低血糖症的原因.
- 实现了低血糖症的成功医疗管理,避免了手术干预.
结论:
- 排泄IGF-II的膀瘤是一种极为罕见的帕拉内瘤性低血糖症的原因.
- 老年患者的反复性低血糖症需要广泛的差异诊断,包括罕见的瘤.
- 医疗管理可以成为非切除瘤的次要低血糖症的可行替代方案.
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