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患者男,50岁,因“血糖升高3年余,盆腔肿块2个月”入院。患者自述下腹部胀痛,外院CT检查显示盆腔左侧壁髂血管旁占位。实验室检查:NSE 39.09 ng/ml(正常值0~17 ng/ml),铁蛋白530.20 ng/ml(正常值30~400 ng/ml),胃泌素释放肽前体(Pro-GRP)436.6 pg/ml(正常值25.3~69.2 pg/ml)。胰岛素功能显示胰岛素及C肽分泌曲线低平,峰值延后,胰岛功能较差,自测空腹血糖4.9~5.7 mmol/
Male patient, 50 years old, due to “blood sugar increased more than 3 years, pelvic mass 2 months ” admission. Patients reported lower abdominal pain, CT examination of the outer court showed iliac vessels next to the pelvic floor space. Laboratory tests included NSE 39.09 ng / ml (n = 0-17 ng / ml), ferritin 530.20 ng / ml (n = 30-400 ng / ml), Pro-GRP 436.6 pg / ml (normal 25.3 ~ 69.2 pg / ml). Insulin function showed low secretion of insulin and C peptide secretion curve, peak delay, poor islet function, since the fasting glucose 4.9 ~ 5.7 mmol /