title: [Benign solitary fibrous pleural tumour and hypoglycaemia].
abstract: BACKGROUND
  Solitary fibrous tumours of the pleura are uncommon and discovered fortuitously or in patients with non-specific respiratory symptoms. When associated with hypoglycaemia, they are commonly referred to as Doege-Potter syndrome.
  
  
  METHODS
  A 68-year old woman presented with a large pleural mass. She had a long history of headache and decreased consciousness with one-year worsening dyspnoea and right-sided chest pain. The chest X-ray revealed an enormous opacity occupying almost the entire right hemithorax. Endocrine tests showed an extremely reduced glucose level and blood concentration of insulin, C-peptide, glucagon, growth hormone and catecholamines within normal range. After fine-needle aspiration, by histological and immunohistochemical analysis, a benign solitary fibrous pleural tumour was diagnosed. Although surgical resection of such a huge tumour with hypoglycaemia is usually curative, our patient declined surgery and opted for conservative treatment with intravenous glucose.
  
  
  CONCLUSIONS
  Clinicians should be aware of this rare, but important cause of hypoglycaemia and exclude a fibrous pleural tumour in the assessment of their patients.
authors.forename: Branislava
authors.initials: B
authors.lastname: Milenković
authors.forename: Jelena
authors.initials: J
authors.lastname: Stojsić
authors.forename: Aleksandra
authors.initials: A
authors.lastname: Dudvarski
authors.forename: Vesna
authors.initials: V
authors.lastname: Bosnjak-Petrović
authors.forename: Maja
authors.initials: M
authors.lastname: Ercegovac
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D007003:Hypoglycemia / Q000209:etiology*; D018218:Neoplasms, Fibrous Tissue / Q000150:complications*; D010257:Paraneoplastic Syndromes; D010997:Pleural Neoplasms / Q000150:complications*