Solitary Fibrous Tumor Associated With Non-Islet Cell Tumor Hypoglycemia

• Published in: The Annals of thoracic surgery Vol. 84; no. 1; pp. 292 - 294
• Main Authors: Kameyama, Kotaro, MD, Okumura, Norihito, MD, Kokado, Yujiro, MD, Miyoshi, Kentaroh, MD, Matsuoka, Tomoaki, MD, Nakagawa, Tatsuo, MD
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.07.2007; Elsevier Science
• Subjects: Aged; Biological and medical sciences; Cardiothoracic Surgery; Humans; Hypoglycemia - etiology; Insulin-Like Growth Factor II - secretion; Male; Medical sciences; Neoplasms, Fibrous Tissue - complications; Neoplasms, Fibrous Tissue - secretion; Surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the heart; Surgery of the respiratory system; Thoracic Neoplasms - complications; Thoracic Neoplasms - secretion; Thoracic Wall; 11; Association; Treatment; Respiratory disease; Surgery; Langerhans islet; Metabolic diseases; Fibrous solitary tumor; Thorax; Hypoglycemia; Tumor cell
• ISSN: 0003-4975; 1552-6259
• DOI: 10.1016/j.athoracsur.2007.02.030

A 79-year-old man presented with abnormal fluttering movements of his extremities early in the morning. Fasting hypoglycemia was believed to be the cause of the movements. A computed tomographic scan showed a large mass in the left inferior hemithorax. Non-islet cell tumor hypoglycemia was suspected, and the mass was resected while the patient was under glucose supplementation therapy. The plasma glucose level became stable shortly after tumor excision. The resected tumor was diagnosed as a solitary fibrous tumor producing insulin-like growth factor II. In the follow-up examination approximately 2 years after the surgery, no recurrence of the tumor was observed, and the plasma glucose level was stable.