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KMID : 0383819900370040428
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Tuberculosis and Respiratory Diseases
1990 Volume.37 No. 4 p.428 ~ p.433
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A Case of Malignant Mesothelioma of Pleura Associated with Hypoglycemia
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이명철
조철호/김세규/장준/김성규/이원영/선우일남/홍순원/이광길
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Abstract
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Pleural mesothelioma is a relatively rare neoplasm originated from pleural mesothelial
cell. Pleural mesothelioma associated with hypoglycemia was reported by several authors
but has not been reported yet in Korea. We herein report a case of malignant
mesothelioma of the pleura associated with hypoglycemia in a 69-year-old male.
He had frequent episodes of mental confusion and loss of consciousness. We proved
hypoglycemia during these episodes. He was recovered by the infusion of 50 ㎖ of 50%
glucose solution, but he needed 20% or higher concentration glucose solution infusion to
prevent his symptoms. The oral glucose tolerance test with the simultaneous
measurements of serum C-peptide and insulin was normal except fasting hypoglycemia.
41300 gm weight, 20 ㎝ by 17 ㎝ sized tumor was excised, which was mesothelioma of
low grade malignancy. He has been free of disease and symptoms for 2 years.
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