Department of Thoracic Surgery and Lung Transplantation, Hopital Europeen Georges Pompidou, Paris, France.
Department of Gerontology, Hopital Europeen Georges Pompidou, Paris, France.
Age Ageing. 2017 May 1;46(3):527-529. doi: 10.1093/ageing/afw221.
Solitary fibrous tumour of the pleura (SFTP) is a rare primary tumour of the pleura associated with 4% of cases with a paraneoplastic hypoglycaemia, termed Doege-Potter syndrome (DPS). We report a case of DPS presenting with severe coma in a 90-year-old woman. The cause was a malignant SFTP treated with surgical resection, from which the patient made a full recovery with prevention of recurrent hypoglycaemia. Surgical resection of the SFTP presenting with symptomatic hypoglycaemia should be considered even in elderly patients.
胸膜孤立性纤维瘤(SFTP)是一种罕见的胸膜原发性肿瘤,约有 4%的病例伴有副瘤性低血糖症,称为 Doege-Potter 综合征(DPS)。我们报告了一例 DPS 病例,表现为一名 90 岁老年女性严重昏迷。病因是恶性 SFTP,通过手术切除进行治疗,患者完全康复,且低血糖症未再复发。对于出现症状性低血糖症的 SFTP,即使是老年患者,也应考虑进行手术切除。