Open AccessA rare cause of hypoglycaemia
Author(s) -
Pinaki Dutta,
Anil Bhansali,
Santosh 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.