[Endocrine function of the pancreas in tumors of the chiasmal-sellar region]

Autor: I Ia, Usvatova, V D, Tenedieva, S N, Fedorov, L V, Mikrikova, O G, Arestov
Rok vydání: 1985
Předmět:
Zdroj: Problemy endokrinologii. 31(4)
ISSN: 0375-9660
Popis: A clinicobiochemical study of 10 patients with tumors of the chiasmal sellar region and 8 healthy persons using the i. v. glucose tolerance test (IGTT) made it possible to reveal disorder of pancreatic alpha- and beta-cell function in the patients with tumors. A distinct picture of the chiasmal sellar process with the involved hypothalamus was clinically determined in all the patients. Radioimmunoassay of immunoreactive insulin, glucagon, C-peptide and glucose revealed fasting hyperinsulinemia in the presence of both hypo- and hyperglycemia. The latter was accompanied by a raised level of glucagon in the blood. The IGTT revealed in the patients with tumors of the chiasmal sellar region hyperreactivity of beta-cells and a decrease in the sensitivity of alpha-cells to glucose as well as glucose tolerance that may be both regarded as pathogenetic factors of the development of a prediabetic condition in such patients.
Databáze: OpenAIRE