Hypoglycemia in a patient with a huge malignant solitary fibrous tumor of the pleura.

Abstract:

:Solitary fibrous tumor of the pleura (SFTP) is rare. A 73-year-old man, without past history of diabetes mellitus, was admitted to hospital with profound hypoglycemia, loss of consciousness and respiratory failure. CT indicated a huge heterogenous mass lesion (12 x 12 x 17 cm) at the right thoracic cavity with total atelectasis of the right lower lung. He underwent a standard thoracotomy with complete excision of the tumor. Pathology indicated malignant SFTP with insulin-like growth factor-binding protein-2 production. There were no further incidences of hypoglycemia or respiratory failure after excision of the tumor. Hypoglycemia resulting from a solitary fibrous tumor is uncommon. Standard thoracotomy and complete resection of this giant tumor provided a good result for the present patient.

journal_name

Pathol Int

journal_title

Pathology international

authors

Chang JC,Su KY,Chao SF,Hsu YH,Yang GG,Chang BS

doi

10.1111/j.1440-1827.2007.02175.x

subject

Has Abstract

pub_date

2007-12-01 00:00:00

pages

791-3

issue

12

eissn

1320-5463

issn

1440-1827

pii

PIN2175

journal_volume

57

pub_type

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