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Hypoglycemia in a patient with a huge malignant solitary fibrous tumor of the pleura
Author(s) -
Chang JuiChih,
Su KueiYing,
Chao ShenFeng,
Hsu YungHsiang,
Yang GeeGwo,
Chang BeeSong
Publication year - 2007
Publication title -
pathology international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.73
H-Index - 74
eISSN - 1440-1827
pISSN - 1320-5463
DOI - 10.1111/j.1440-1827.2007.02175.x
Subject(s) - solitary fibrous tumor , pathology , medicine , hypoglycemia , biology , insulin , genetics , stem cell , cd34
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 × 12 × 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.