A Case of Malignant Mesothelioma of Pleura Associated with Hypoglycemia

Lee, Myeong Cheol; Cho, Chul Ho; Kim, Se Kyu; Chang, Joon; Kim, Sung Kyu; Lee, Won Young; Sunwoo, Il Nam; Hong, Soon Won; Lee, Kwang Gil; Hong, Sung Nok

doi:1990.37.4.428

Tuberc Respir Dis > Volume 37(4); 1990 > Article

Case report

Tuberculosis and Respiratory Diseases 1990;37(4):428-433.
DOI: https://doi.org/10.4046/trd.1990.37.4.428 Published online December 1, 1990.

A Case of Malignant Mesothelioma of Pleura Associated with Hypoglycemia

Myeong Cheol Lee, Chul Ho Cho, Se Kyu Kim, Joon Chang, Sung Kyu Kim, Won Young Lee, Il Nam Sunwoo, Soon Won Hong, Kwang Gil Lee, Sung Nok Hong

¹Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
²Department of Neurology, Yonsei University College of Medicine, Seoul, Korea
³Department of Pathology, Yonsei University College of Medicine, Seoul, Korea
⁴Department of Chest Surgery, Yonsei University College of Medicine, Seoul, Korea

저혈당증을 유발한 흉막 악성 중피종(Malignant Pleural Mesothelioma) 1예

이명철, 조철호, 김세규, 장준, 김성규, 이원영, 선우일남, 홍순원, 이광길, 홍승록

Abstract

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 ml 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. A 1300 gm weight, 20 cm by 17 cm sized tumor was excised, which was mesothelioma of low grade malignancy. He has been free of disease and symptoms for 2 years.