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一例罕见的多伊奇-波特综合征病例:手术切除良性孤立性肺纤维瘤的麻醉考量

A rare case of Doege-Potter syndrome: Anesthesia considerations for the surgical removal of a benign solitary lung fibrous tumor.

作者信息

Indragandhi J, Krishnaprabu R

机构信息

Department of Anesthesia and Critical Care, Sri Venkateswaraa Medical College Hospital and Research Centre, Ariyur, Pondicherry, India.

出版信息

Saudi J Anaesth. 2025 Jul-Sep;19(3):422-424. doi: 10.4103/sja.sja_626_24. Epub 2025 Jun 16.

Abstract

Non-Islet Cell Tumor Hypoglycemia (NICTH) associated with solitary fibrous tumor is referred to as Doege-potter syndrome (DPS). Non-Islet Cell Tumor Hypoglycemia (NICTH) is a paraneoplastic syndrome characterized by hypoglycemia from secretion of insulin-like growth factor type 2 (IGF-2). Surgical resection of massive Solitary Fibrous Tumor of Pleura (SFTP) can be complicated by airway collapse, vascular compression, hemodynamic instability and hemorrhage. SFTP patients present with metabolic derangements secondary to paraneoplastic processes. We present a case of successful removal of massive right-sided SFTP via posterolateral thoracotomy and discuss the perioperative considerations for which providers should be familiar.

摘要

与孤立性纤维瘤相关的非胰岛细胞瘤性低血糖症(NICTH)被称为多伊格-波特综合征(DPS)。非胰岛细胞瘤性低血糖症(NICTH)是一种副肿瘤综合征,其特征是因分泌2型胰岛素样生长因子(IGF-2)而导致低血糖。巨大的胸膜孤立性纤维瘤(SFTP)手术切除可能会并发气道塌陷、血管受压、血流动力学不稳定和出血。SFTP患者会出现继发于副肿瘤过程的代谢紊乱。我们报告一例通过后外侧开胸成功切除巨大右侧SFTP的病例,并讨论了医疗人员应熟悉的围手术期注意事项。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c24/12240528/aacab272723f/SJA-19-422-g001.jpg

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