ea0081ep588 | Endocrine-Related Cancer | ECE2022
Rossini Giovanni
, Tommaso Alfonso Maria Di
, Rausa Donatella
, Palermo Andrea
, Tuccinardi Dario
, Pozzilli Paolo
, Napoli Nicola
, Manfrini Silvia
Nonislet cell tumor hypoglycemia (NICTH) is a rare complication of malignancy characterized by overproduction of incompletely processed IGF-2 and subsequent stimulation of insulin receptors and increased glucose utilization. We report a patient with pancreatic adenocarcinoma with neuroendocrine differentiation who presented with NICTH and paraneoplastic hypercalcemia. A 51 year-old male was admitted to the ER for altered mental status and confusion. His blood glucose was 27 mg...