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  • Title: [Hypoglycemic coma revealing a solitary fibrous tumor of the pleura].
    Author: Kafih M, Boubia S, Ridai M, Maher N, Afif H, Attar H, Zerouali NO.
    Journal: Presse Med; 2005 Nov 05; 34(19 Pt 1):1370. PubMed ID: 16292188.
    Abstract:
    INTRODUCTION: Solitary fibrous tumor of the pleura (TFSP) is rare. When associated with hypoglycemia it is commonly referred to as Doege-Potter syndrome. CASE: A 51-year-old man was hospitalized for recurrent near-syncope associated with hypoglycemia. Clinical examination and then thoracic imaging clearly showed anomalies that corresponded to a mass occupying the entire left hemithorax. After resection, histological analysis diagnosed a fibrous tumor of the pleura. DISCUSSION: Solitary fibrous tumors of the pleura are observed most often in patients aged 50 and 70 years. Hypoglycemia is rare, occurring in approximately 4% of cases. It is explained by the abnormal secretion of a type-II insulin-like growth factor. This tumor is treated by complete surgical excision.
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