Lee C E, Zanariah H, Masni M, Pau K K
Department of Medicine, University Malaya Medical Centre, Kuala Lumpur, Malaysia.
Med J Malaysia. 2010 Mar;65(1):72-4.
We report a case of a 61 year-old man who presented with refractory non-insulin mediated hypoglycaemia. A chest radiograph showed a right lung opacity, which was confirmed as a large intra-thoracic mass by computed tomography (CT) of the thorax. CT-guided biopsy with histological examination revealed features of a solitary fibrous tumour of low malignant potential. We discuss the association of solitary fibrous tumour of the pleura (SFTP) with hypoglycaemia, and the management of such rare tumours.
我们报告一例61岁男性患者,其表现为难治性非胰岛素介导的低血糖症。胸部X线片显示右肺有模糊影,胸部计算机断层扫描(CT)证实为一个巨大的胸内肿块。CT引导下活检及组织学检查显示为低恶性潜能的孤立性纤维瘤。我们讨论了胸膜孤立性纤维瘤(SFTP)与低血糖症的关联,以及此类罕见肿瘤的治疗。