title: Palliative embolization of fibrosarcoma for control of tumor-induced hypoglycemia.
abstract: A 77-year-old woman with prior long-standing insulin-dependent diabetes presented with malignant hypoglycemia secondary to insulin-like substances excreted from a large unresectable fibrosarcoma of the left thigh. Partial embolization of the tumor supply from the deep femoral artery was performed using 150-250 microns polyvinyl alcohol foam particles. After embolization, the patient's serum glucose levels reverted to normal and she could be discharged from the hospital.
authors.affiliation: Department of Radiology, University of California Davis Medical Center, Sacramento 95817, USA.
authors.forename: S J
authors.initials: SJ
authors.lastname: Lengle
authors.forename: S T
authors.initials: ST
authors.lastname: Hecht
authors.forename: D P
authors.initials: DP
authors.lastname: Link
authors.forename: R
authors.initials: R
authors.lastname: O'Donnell
mesh_terms: D000368:Aged; D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D004621:Embolization, Therapeutic; D005260:Female; D005263:Femoral Artery; D005354:Fibrosarcoma / Q000098:blood supply / Q000378:metabolism / Q000628:therapy*; D006801:Humans; D007003:Hypoglycemia / Q000209:etiology / Q000517:prevention & control*; D007328:Insulin / Q000378:metabolism; D000078790:Insulin Secretion; D019042:Muscle Neoplasms / Q000098:blood supply / Q000378:metabolism / Q000628:therapy*; D010166:Palliative Care; D010257:Paraneoplastic Syndromes / Q000209:etiology / Q000517:prevention & control*; D011145:Polyvinyls; D013848:Thigh
chemical_list: D007328:Insulin; D011145:Polyvinyls; C026699:ivalon sponge