DONALD A. SCHOLZ, M.D.; LEWIS B. WOOLNER, M.D.; JAMES T. PRIESTLEY, M.D.
The clinical signs and symptoms associated with hypoglycemia are well documented in recent clinical reviews.1-3 The common causes of organic hypoglycemia include (1) hyperinsulinism due to a functioning tumor of the pancreatic islet cells, (2) hypofunction of the anterior lobe of the pituitary gland, (3) hypofunction of the adrenal cortex, and (4) hepatic disease. On rare occasions a fibrogenic tumor, which may arise anywhere in the thorax or retroperitoneal region, can be associated with symptoms of hypoglycemia. We have encountered two patients with fibrogenic tumors whose presenting symptoms were due to recurrent hypoglycemia. In one of these cases, surgical removal
SCHOLZ DA, WOOLNER LB, PRIESTLEY JT. SPONTANEOUS HYPOGLYCEMIA ASSOCIATED WITH FIBROGENIC TUMOR: REPORT OF TWO CASES1. Ann Intern Med. ;46:796–807. doi: 10.7326/0003-4819-46-4-796
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Published: Ann Intern Med. 1957;46(4):796-807.
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