原发性肝癌 (ＰＨＣ)伴癌综合征是肝癌少见的全身表现 ,肝癌伴低血糖症为此症候群之一 ,临床上容易引起误诊。作者观察了 1 39例ＰＨＣ患者的空腹血糖 ,发现 1 4例ＰＨＣ伴低血糖症 ,探讨了其发病机制 ,旨在提高临床医师对该病的重视 ,利于早期诊断。患者 1 39例 ,病程中出现低 Primary liver cancer (PHC) associated with cancer syndrome is a rare systemic manifestation of liver cancer. Liver cancer with hypoglycemia is one of the symptoms of this syndrome, clinically misdiagnosed. The authors observed fasting blood glucose in 139 patients with PHC and found that one patient had PHC associated with hypoglycemia. The pathogenesis of the disease was explored to increase the attention of clinicians to the disease and facilitate early diagnosis. One hundred and thirty-nine patients with low disease duration