Huge solitary fibrous tumor of the pleura with hypoglycemia and hypokalemia: a case report.

The occurrence of hypoglycemia with an intrathoracic tumor is referred to as Doege- Potter syndrome (DPS). However, the association between hypokalemia and DPS is rare. We report a case of a solitary fibrous tumor of the pleura with refractory hypoglycemia and hypokalemia. A 57-year-old male was admitted to our hospital for unconsciousness. His serum glucose and potassium levels were low. Radiological findings revealed a large tumor occupying the left hemithorax. Despite being treated with glucose and potassium replacement therapy, the patient still suffered from repetitive fasting hypoglycemic and hypokalemia episodes. After the tumor was completely resected, his serum levels of glucose and potassium returned to normal level.

[1]  B. Rikhof,et al.  Non-islet cell tumour-induced hypoglycaemia: a review of the literature including two new cases. , 2007, Endocrine-related cancer.

[2]  K. Takano,et al.  Clinical features of insulin-like growth factor-II producing non-islet-cell tumor hypoglycemia. , 2006, Growth hormone & IGF research : official journal of the Growth Hormone Research Society and the International IGF Research Society.

[3]  B. Tunçözgür,et al.  Localized pleural malignant mesothelioma , 2001, Pathology international.

[4]  Stefan Fischer,et al.  Solitary fibrous tumors of the pleura. , 2002, The Annals of thoracic surgery.

[5]  R H Choplin,et al.  Localized benign fibrous tumors of the pleura. , 1997, AJR. American journal of roentgenology.

[6]  R. Ross,et al.  Administration of human recombinant insulin‐like growth factor‐I to patients following major gastrointestinal surgery , 1992, Clinical endocrinology.

[7]  L. Hochholzer,et al.  Localized Benign and Malignant Fibrous Tumors of the Pleura: A Clinicopathologic Review of 223 Cases , 1989, The American journal of surgical pathology.

[8]  K. W. Doege FIBRO-SARCOMA OF THE MEDIASTINUM. , 1930, Annals of surgery.