DOI QR코드

DOI QR Code

A Case of Solitary Fibrous Pleura Tumor Associated with Severe Hypoglycemia: Doege-Potter Syndrome

  • Jang, Jong Geol (Department of Internal Medicine, Regional Center for Respiratory Disease, Yeungnam University Medical Center, Yeungnam University College of Medicine) ;
  • Chung, Jin Hong (Department of Internal Medicine, Regional Center for Respiratory Disease, Yeungnam University Medical Center, Yeungnam University College of Medicine) ;
  • Hong, Kyung Soo (Department of Internal Medicine, Regional Center for Respiratory Disease, Yeungnam University Medical Center, Yeungnam University College of Medicine) ;
  • Ahn, June Hong (Department of Internal Medicine, Regional Center for Respiratory Disease, Yeungnam University Medical Center, Yeungnam University College of Medicine) ;
  • Lee, Jae Young (Department of Internal Medicine, Regional Center for Respiratory Disease, Yeungnam University Medical Center, Yeungnam University College of Medicine) ;
  • Jo, Jae Ho (Department of Internal Medicine, Regional Center for Respiratory Disease, Yeungnam University Medical Center, Yeungnam University College of Medicine) ;
  • Lee, Dong Won (Department of Internal Medicine, Regional Center for Respiratory Disease, Yeungnam University Medical Center, Yeungnam University College of Medicine) ;
  • Shin, Kyeong Cheol (Department of Internal Medicine, Regional Center for Respiratory Disease, Yeungnam University Medical Center, Yeungnam University College of Medicine) ;
  • Lee, Kwan Ho (Department of Internal Medicine, Regional Center for Respiratory Disease, Yeungnam University Medical Center, Yeungnam University College of Medicine) ;
  • Kim, Mi Jin (Department of Pathology, Regional Center for Respiratory Disease, Yeungnam University Medical Center, Yeungnam University College of Medicine) ;
  • Lee, Jung Cheul (Department of Thoracic and Cardiovascular Surgery, Regional Center for Respiratory Disease, Yeungnam University Medical Center, Yeungnam University College of Medicine) ;
  • Lee, Jang Hoon (Department of Thoracic and Cardiovascular Surgery, Regional Center for Respiratory Disease, Yeungnam University Medical Center, Yeungnam University College of Medicine) ;
  • Lee, Jae Kyo (Department of Radiology, Regional Center for Respiratory Disease, Yeungnam University Medical Center, Yeungnam University College of Medicine)
  • Received : 2014.07.16
  • Accepted : 2014.12.11
  • Published : 2015.02.28

Abstract

Solitary fibrous tumor of the pleura (SFTP) is a rare primary intrathoracic tumor that arises from mesenchymal tissue underlying the mesothelial layer of the pleura. It usually has an indolent clinical course. The hypoglycemia that accompanies SFTP was first described by Doege and Potter independently in 1930, hence the eponym Doege-Potter syndrome (DPS). The incidence of DPS is reported to be ~4%. In this report, we present a typical case of DPS that was cured through complete surgical resection.

Keywords

References

  1. Lee CE, Zanariah H, Masni M, Pau KK. Solitary fibrous tumour of the pleura presenting with refractory non-insulin mediated hypoglycaemia (the Doege-Potter syndrome). Med J Malaysia 2010;65:72-4.
  2. Campbell NA, Antippa PN. Solitary fibrous tumour of the pleura. Heart Lung Circ 2006;15:400-1. https://doi.org/10.1016/j.hlc.2006.05.002
  3. de Perrot M, Fischer S, Brundler MA, Sekine Y, Keshavjee S. Solitary fibrous tumors of the pleura. Ann Thorac Surg 2002;74:285-93. https://doi.org/10.1016/S0003-4975(01)03374-4
  4. Robinson LA. Solitary fibrous tumor of the pleura. Cancer Control 2006;13:264-9. https://doi.org/10.1177/107327480601300403
  5. Doege KW. Fibro-sarcoma of the mediastinum. Ann Surg 1930;92:955-60.
  6. Leng XF, Xian L, Qin JJ, Lei BF. Malignant solitary fibrous tumor of pleura accompanied with first symptoms of chest pain and hemoptysis: a case report. Ann Thorac Cardiovasc Surg 2012;18:251-5. https://doi.org/10.5761/atcs.cr.11.01714
  7. Briselli M, Mark EJ, Dickersin GR. Solitary fibrous tumors of the pleura: eight new cases and review of 360 cases in the literature. Cancer 1981;47:2678-89. https://doi.org/10.1002/1097-0142(19810601)47:11<2678::AID-CNCR2820471126>3.0.CO;2-9
  8. Klemperer P, Rabin CB. Primary neoplasm of the pleura: a report of five cases. Arch Pathol 1931;11:385-412.
  9. Zhu Y, Du K, Ye X, Song D, Long D. Solitary fibrous tumors of pleura and lung: report of twelve cases. J Thorac Dis 2013;5:310-3.
  10. Magdeleinat P, Alifano M, Petino A, Le Rochais JP, Dulmet E, Galateau F, et al. Solitary fibrous tumors of the pleura: clinical characteristics, surgical treatment and outcome. Eur J Cardiothorac Surg 2002;21:1087-93. https://doi.org/10.1016/S1010-7940(02)00099-4
  11. England DM, Hochholzer L, McCarthy MJ. Localized benign and malignant fibrous tumors of the pleura: a clinicopathologic review of 223 cases. Am J Surg Pathol 1989;13:640-58. https://doi.org/10.1097/00000478-198908000-00003
  12. Doyle LA, Vivero M, Fletcher CD, Mertens F, Hornick JL. Nuclear expression of STAT6 distinguishes solitary fibrous tumor from histologic mimics. Mod Pathol 2014;27:390-5. https://doi.org/10.1038/modpathol.2014.18
  13. Chilosi M, Facchettti F, Dei Tos AP, Lestani M, Morassi ML, Martignoni G, et al. bcl-2 expression in pleural and extrapleural solitary fibrous tumours. J Pathol 1997;181:362-7. https://doi.org/10.1002/(SICI)1096-9896(199704)181:4<362::AID-PATH764>3.0.CO;2-Y
  14. Masson EA, MacFarlane IA, Graham D, Foy P. Spontaneous hypoglycaemia due to a pleural fibroma: role of insulin like growth factors. Thorax 1991;46:930-1. https://doi.org/10.1136/thx.46.12.930
  15. Schutt RC, Gordon TA, Bhabhra R, Cathro HP, Cook SL, Mc- Cartney CR, et al. Doege-Potter syndrome presenting with hypoinsulinemic hypoglycemia in a patient with a malignant extrapleural solitary fibrous tumor: a case report. J Med Case Rep 2013;7:11. https://doi.org/10.1186/1752-1947-7-11

Cited by

  1. Management of solitary fibrous tumor of the pleura: a rare differential of solid lung masses vol.33, pp.1, 2015, https://doi.org/10.1007/s12055-016-0484-8
  2. Mediastinal Solitary Fibrous Tumor Diagnosed by Endobronchial Ultrasound-Directed Biopsy vol.18, pp.None, 2015, https://doi.org/10.12659/ajcr.903680
  3. Lung Image: Doege-Potter Syndrome vol.196, pp.2, 2015, https://doi.org/10.1007/s00408-017-0078-2