A rare cause of hypoglycaemia | Zendy

Pradip Kumar Dutta | Zendy; Anil Bhansali | Zendy; Sudesh Kumar | Zendy; Petrilla Jayaprakash | Zendy; Uma Nahar | Zendy

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A rare cause of hypoglycaemia

Author(s) -

Pradip Kumar Dutta,

Anil Bhansali,

Sudesh Kumar,

Petrilla Jayaprakash,

Uma Nahar

Publication year - 2009

Publication title -

bmj case reports

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.231

H-Index - 26

ISSN - 1757-790X

DOI - 10.1136/bcr.04.2009.1789

Subject(s) - medicine , debulking , histopathology , cd34 , immunostaining , vimentin , radiation therapy , prednisolone , surgery , pathology , immunohistochemistry , cancer , ovarian cancer , stem cell , biology , genetics

We describe the case of a 77-year-old man who was admitted with recurrent episodes of altered behaviour. These episodes were related to insulin-like growth factor II (IGF-II) mediated hypoglycaemia. Imaging revealed a large retroperitoneal mass and he underwent debulking surgery uneventfully. Histopathology revealed a solitary fibroma with intense immunostaining positive for CD34 and vimentin, suggesting a mesenchymal origin of the tumour. Later he received chemo/radiotherapy and is on prednisolone with abatement of hypoglycaemic episodes.

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