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Doege-Potter 综合征:90 岁老人因孤立性纤维瘤导致低血糖昏迷。

Doege-Potter syndrome: hypoglycaemic coma in a 90-year old due to a solitary fibrous tumour.

机构信息

Department of Thoracic Surgery and Lung Transplantation, Hopital Europeen Georges Pompidou, Paris, France.

Department of Gerontology, Hopital Europeen Georges Pompidou, Paris, France.

出版信息

Age Ageing. 2017 May 1;46(3):527-529. doi: 10.1093/ageing/afw221.

Abstract

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.

摘要

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。

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