VOLUME 21 - NUMBER 91 / July (Clinical case / Caso clínico)
Erwin R. Flores-Vázquez, Department of Surgery, Hospital General Regional 2, IMSS, Querétaro, Mexico
Rodrigo Uribe-Pacheco, Department of Neurosurgery, Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Mexico City, Mexico
Guadalupe J. Vázquez-Ramírez, Department of General Surgery, Hospital de Especialidades, Centro Médico Nacional Siglo XXI Dr. Bernardo Sepúlveda Gutiérrez, IMSS, Mexico City, Mexico
Luis E. Suárez-Luna, Department of General Surgery, Hospital de Especialidades, Centro Médico Nacional Siglo XXI Dr. Bernardo Sepúlveda Gutiérrez, IMSS, Mexico City, Mexico
Irene Irisson-Mora, Department of Endocrinology, Instituto Nacional de Enfermedades Respiratorias, Mexico City. Mexico
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.
Keywords: Pleural fibrous solitary tumor. Doege-Potter Syndrome. Hypoglycemia. Thoracotomy. Thoracic surgery.
