IGF-II-secreting pelvic tumor presenting with neuropsychiatric symptoms

Divya Dahiya; Sanjay Bhadada; Uma Nahar; Mandeep Garg; Lileswar Kaman; Arunanshu Behera

doi:10.1093/jscr/rjt116

IGF-II-secreting pelvic tumor presenting with neuropsychiatric symptoms

J Surg Case Rep. 2013 Dec 16;2013(12):rjt116. doi: 10.1093/jscr/rjt116.

Authors

Divya Dahiya¹, Sanjay Bhadada², Uma Nahar³, Mandeep Garg⁴, Lileswar Kaman⁵, Arunanshu Behera⁵

Affiliations

¹ Department of Surgery, PGIMER, Chandigarh, India dahiyadivya30@gmail.com.
² Department of Endocrinology, PGIMER, Chandigarh, India.
³ Department of Histopathology, PGIMER, Chandigarh, India.
⁴ Department of Radiodiagnosis, PGIMER, Chandigarh, India.
⁵ Department of Surgery, PGIMER, Chandigarh, India.

Abstract

A 48-year-male presented with a gradually increasing lump in the abdomen, which was confirmed on investigations as a pelvic tumor. He developed frequent episodes of hypoglycemia and neuropsychiatric symptoms while awaiting surgery. During episodes of hypoglycemia, his serum C-peptide and insulin levels were negligible and the insulin-like growth factor (IGF)-II to IGF-I ratio was >10. He successfully underwent an en bloc excision of the tumor. Histopathology revealed a solitary fibrous tumor.

Publication types

Case Reports