论文部分内容阅读
患者男,54岁。13年前偶发低血糖,服糖后缓解,近7个月症状加重,期间多次无诱因晨起出现意识不清、行为异常等症状,既往患有风湿性关节炎、关节骨痛病史。入院查血糖为2.7 mmol/L,胰岛素<0.200 u U/ml,C肽0.229ng/ml。CT检查:右侧胸腔巨大软组织肿块,大小约为20.0cm×20.0 cm×10.0 cm,边缘光滑,界限清晰,密度不均,有
Male patient, 54 years old. 13 years ago occasional hypoglycemia, relieve sugar, after 7 months of aggravating symptoms, many times during the absence of incentives appear confusion in the morning, behavioral disorders and other symptoms, previous suffering from rheumatoid arthritis, joint pain history. Check blood glucose was 2.7 mmol / L, insulin <0.200 u U / ml, C peptide 0.229ng / ml. CT examination: the right side of the chest a huge soft tissue mass, the size of about 20.0cm × 20.0cm × 10.0cm, smooth edges, clear boundaries, uneven density, with