Hypoglycemia secondary to solitary fibrous pleural tumor: A doege-potter syndrome case report

Abstract

Solitary fibrous pleural tumor is rare. When associated to hypoglycemia as paraneoplastic syndrome, it is known as Doege-Potter syndrome. The first-line treatment is surgical resection, directly associated to instant hypoglycemia remission. Hereby, we present the case of a 57-year-old woman complaining of recurrent hypoglycemia episodes. Imaging studies demonstrated on the left hemithorax an heterogeneous tumor. The patient agreed to surgical intervention. Block resection was performed through posterolateral thoracotomy. Afterward, the patient's hypoglycemia episodes ceased. In occasions, hypoglycemia episodes can be potentially lethal, if not attended. Surgical treatment may resolve hypoglycemia episodes, digital acropachy, and long-term survival with no recurrence.