T. Sakamoto et al., LOCALIZED PLEURAL MESOTHELIOMA WITH ELEVATION OF HIGH-MOLECULAR-WEIGHT INSULIN-LIKE GROWTH-FACTOR-II AND HYPOGLYCEMIA, Chest, 106(3), 1994, pp. 965-967
Recurrent hypoglycemia occurred in a 48-year-old woman with a localize
d pleural mesothelioma. During hypoglycemia, serum high molecular weig
ht insulin-like growth factor II (IGF-II) was elevated. The tumor also
contained a high level of high molecular weight IGF-II. We propose th
at the primary cause of the hypoglycemia in this patient was the high
molecular weight IGF-II produced by the tumor.