Endocrine Abstracts

We previously reported a case of non islet cell tumour hypoglycaemia (NICTH) due to increased ‘big’-IGF2 production in a lady with haemangiopericytoma (HAP). We now describe the challenges in managing this lady who had recurrent, disabling hypoglycaemia requiring frequent hospitalisation.This patient presented with symptomatic hypoglycaemia 15 years after the diagnosis of parasaggital HAP. At presentation she had tumour recurrence with liver an...

Introduction: Spontaneous hypoglycaemia is very rarely related to non-islet cell tumours. Most of them are due to mesenchymal tumours including haemangiopericytoma (HAP). It has been reported that, in patients with NICTH who have inoperable tumours, high doses of glucocorticoid or recombinant human growth hormone may be effective in treating hypoglycaemia. We present, with relevant imaging, a rare case of metastatic HAP causing an increased level of insulin like growth factor ...