Pleural-based giant solitary fibrous tumour with associated hypoglycaemia: unusual presentation with pulmonary hypertension in a patient with Doege–Potter syndrome

Refractory hypoglycaemia in a patient with a solitary fibrous tumour (SFT) is very rare and was first reported in 1930 independently by Doege and Potter, leading to it being named 'Doege–Potter syndrome’. Here, we report the unusual case of a 77-year-old woman with a giant solitary fibrous pleu...

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Published inClinical medicine (London, England) Vol. 23; no. 5; pp. 518 - 520
Main Authors Gohir, Qasim, Ghosh, Shilajit, Bosher, Olivia, Crawford, Emma, Srinivasan, Koottalai, Moudgil, Harmesh
Format Journal Article
LanguageEnglish
Published England Elsevier Ltd 01.09.2023
Royal College of Physicians
Subjects
Aged
Biopsy
Cancer
Cardiac arrhythmia
Diabetes
Doege–Potter syndrome
Female
Glucose
Heart failure
Humans
Hypertension, Pulmonary - etiology
hypoglycaemia
Hypoglycemia
Hypoglycemia - etiology
Insulin
Lesson of the Month
Patients
Peptides
Pleural effusion
Pulmonary hypertension
Solitary Fibrous Tumor, Pleural - diagnosis
Solitary Fibrous Tumor, Pleural - diagnostic imaging
solitary fibrous tumour
Syndrome
Tomography
Tumors
Ultrasonic imaging
Doege–Potter syndrome
hypoglycaemia
solitary fibrous tumour
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Summary:Refractory hypoglycaemia in a patient with a solitary fibrous tumour (SFT) is very rare and was first reported in 1930 independently by Doege and Potter, leading to it being named 'Doege–Potter syndrome’. Here, we report the unusual case of a 77-year-old woman with a giant solitary fibrous pleural tumour who presented with complicating pulmonary hypertension and associated heart failure with hypoglycaemia, and subsequently underwent curative resection of the pleural mass with clinical improvement.
ISSN:1470-2118
1473-4893
DOI:10.7861/clinmed.2023-0274