title: Solitary fibrous tumor of the pleura suddenly induced hypoglycemia before surgical treatment.
abstract: We present a case of a solitary fibrous tumor of the pleura with sudden onset, recurrent hypoglycemia. A 76-year-old smoking male with type-II diabetes mellitus admitted to our hospital for dyspnea and general malaise. Radiological findings revealed a large tumor occupying the right hemithorax. After bronchoscopic examination, the patient developed a fever and began to wheeze. Treatment with antibiotics and several other drugs improved his symptoms. Percutaneous needle biopsy confirmed the diagnosis. After these medical interventions, the patient suddenly developed recurrent hypoglycemia. After the right pneumonectomy, the patient never experienced hypoglycemia again. We should consider the possible relation between hypoglycemia and solitary fibrous tumor of the pleura, even when the patient is not hypoglycemic during the initial examination.
authors.affiliation: Department of Thoracic Surgery, Kanazawa Medical University, Kahokugun, Ishikawa, Japan. sumaeda-ths@umin.ac.jp
authors.forename: Sumiko
authors.initials: S
authors.lastname: Maeda
authors.forename: Makoto
authors.initials: M
authors.lastname: Sugita
authors.forename: Motoyasu
authors.initials: M
authors.lastname: Sagawa
authors.forename: Yoshimichi
authors.initials: Y
authors.lastname: Ueda
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Sakuma
mesh_terms: D000368:Aged; D001707:Biopsy, Needle; D001786:Blood Glucose / Q000378:metabolism; D001999:Bronchoscopy; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000150:complications / Q000188:drug therapy; D006801:Humans; D007003:Hypoglycemia / Q000097:blood / Q000209:etiology*; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007328:Insulin / Q000097:blood; D008297:Male; D011013:Pneumonectomy; D012008:Recurrence; D054363:Solitary Fibrous Tumor, Pleural / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D001786:Blood Glucose; D007004:Hypoglycemic Agents; D007328:Insulin