与胸膜孤立性纤维瘤相关的低血糖症

Hypoglycaemia associated with a solitary fibrous tumour of the pleura.

作者信息

Chaugle H, Parchment C, Grotte G J, Keenan D J

机构信息

Department of Cardiothoracic Surgery, Manchester Heart Centre, Manchester Royal Infirmary, UK.

出版信息

Eur J Cardiothorac Surg. 1999 Jan;15(1):84-6. doi: 10.1016/s1010-7940(98)00263-2.

DOI:10.1016/s1010-7940(98)00263-2

PMID:10077378

Abstract

We report the interesting case of an elderly woman who presented with hypoglycaemic episodes and weight loss. She was found to have a solitary fibrous tumour weighing more than 1.7 kg arising from the diaphragmatic pleura, which had been producing insulin-like growth factor II. After surgical removal of this well-encapsulated, pedunculated tumour her hypoglycaemia resolved and she returned to normal both clinically and biochemically.

摘要

我们报告了一例有趣的老年女性病例，她出现低血糖发作和体重减轻的症状。经检查发现，她患有一个起源于膈胸膜、重达1.7千克以上的孤立性纤维瘤，该肿瘤一直在分泌胰岛素样生长因子II。在手术切除这个包膜完整、有蒂的肿瘤后，她的低血糖症状得以缓解，临床和生化指标均恢复正常。