Solitary Fibrous Tumor of the Pleura Suddenly Induced Hypoglycemia before Surgical Treatment

DOI 被引用文献3件 参考文献23件
  • Maeda Sumiko
    Department of Thoracic Surgery, Kanazawa Medical University, Kahokugun, Ishikawa, Japan (current affiliation) Department of Thoracic Surgery, Tohoku University Hospital, Sendai, Miyagi, Japan
  • Sugita Makoto
    Department of Thoracic Surgery, Kanazawa Medical University, Kahokugun, Ishikawa, Japan
  • Sagawa Motoyasu
    Department of Thoracic Surgery, Kanazawa Medical University, Kahokugun, Ishikawa, Japan
  • Ueda Yoshimichi
    Department of Pathology, Kanazawa Medical University, Kahokugun, Ishikawa, Japan
  • Sakuma Tsutomu
    Department of Thoracic Surgery, Kanazawa Medical University, Kahokugun, Ishikawa, Japan

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We present a case of a solitary fibrous tumor of the pleura with sudden onset, recurrent hypoglycemia. A 76-year-old smoking male with type-II diabetes mellitus admitted to our hospital for dyspnea and general malaise. Radiological findings revealed a large tumor occupying the right hemithorax. After bronchoscopic examination, the patient developed a fever and began to wheeze. Treatment with antibiotics and several other drugs improved his symptoms. Percutaneous needle biopsy confirmed the diagnosis. After these medical interventions, the patient suddenly developed recurrent hypoglycemia. After the right pneumonectomy, the patient never experienced hypoglycemia again. We should consider the possible relation between hypoglycemia and solitary fibrous tumor of the pleura, even when the patient is not hypoglycemic during the initial examination.

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