Hypoglycemia in a patient with a huge malignant solitary fibrous tumor of the pleura.
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.
Chang
Jui-Chih
JC
Division of Thoracic and Cardiovascular Surgery, Buddhist Tzu Chi General Hospital, Hualien, Taiwan. med.ray@msa.hinet.net
Su
Kuei-Ying
KY
Chao
Shen-Feng
SF
Hsu
Yung-Hsiang
YH
Yang
Gee-Gwo
GG
Chang
Bee-Song
BS
D000368:Aged; D006801:Humans; D007003:Hypoglycemia / Q000209:etiology*; D007150:Immunohistochemistry; D007335:Insulin-Like Growth Factor II / Q000378:metabolism*; D008297:Male; D010997:Pleural Neoplasms / Q000150:complications* / Q000378:metabolism / Q000473:pathology*; D054364:Solitary Fibrous Tumors / Q000150:complications* / Q000378:metabolism / Q000473:pathology*; D019616:Thoracic Surgical Procedures
C035170:IGF2 protein, human; D007335:Insulin-Like Growth Factor II