Wang Chuxu, Cao Tingting, Hu Guodong, Min Bo, Hu Haibo, Liu Bing, Wang Yaqin, Zuo Xiaohua
Department of Thoracic Surgery, Huai'an Second People's Hospital, The Affiliated Huai'an Hospital of Xuzhou Medical University, Huai'an, Jiangsu, China.
Department of Pain Management, Huai'an Second People's Hospital, The Affiliated Huai'an Hospital of Xuzhou Medical University, Huai'an, Jiangsu, China.
Front Oncol. 2023 Sep 26;13:1245289. doi: 10.3389/fonc.2023.1245289. eCollection 2023.
Hypoglycemia has multiple causes, but the most common is a complication of insulin treatment. In addition to insulin therapy, tumors such as insulinomas of pancreatic origin and extrapancreatic tumors causing paraneoplastic syndromes should also be considered. Solitary fibrous tumors of the pleura (SFTP) is rare tumor, which when associated with hypoglycemia causes Doege-Potter syndrome. This article reports a case of a 69-year-old man with Doege-Potter syndrome and underwent the first surgical resection for SFTP. However, the tumor recurred 9 years later with hypoglycemic symptoms and implant metastasis. This recurrent tumor originated from the visceral pleura, was more aggressive and invaded the diaphragm and parietal pleura. After the second surgical removal of the tumor, the hypoglycemic symptoms disappeared.
低血糖有多种病因,但最常见的是胰岛素治疗的并发症。除胰岛素治疗外,还应考虑诸如胰腺来源的胰岛素瘤和引起副肿瘤综合征的胰腺外肿瘤等肿瘤。胸膜孤立性纤维瘤(SFTP)是一种罕见肿瘤,当与低血糖相关时会导致多伊格 - 波特综合征。本文报告了一例69岁患有多伊格 - 波特综合征的男性患者,其接受了首例SFTP手术切除。然而,9年后肿瘤复发并伴有低血糖症状及种植转移。这种复发性肿瘤起源于脏层胸膜,更具侵袭性,侵犯了膈肌和壁层胸膜。第二次手术切除肿瘤后,低血糖症状消失。