Clinical Medicine Insights: Circulatory, Respiratory and Pulmonary Medicine (Oct 2020)

Doege–Potter Syndrome and Hypoglycemia associated with Solitary Fibrous Tumor of the Pleura: Two Case Reports

  • Liliana Fernández-Trujillo,
  • Jhon E Bolaños,
  • Carolina Álvarez,
  • Julián Giraldo,
  • Mauricio Velásquez,
  • Valeria Zúñiga-Restrepo,
  • Bladimir Pérez,
  • Luz F Sua

DOI
https://doi.org/10.1177/1179548420964759
Journal volume & issue
Vol. 14

Abstract

Read online

Solitary fibrous tumors of the pleura (SFTP) are rare mesenchymal neoplasms that originate from mesenchymal growth in the pleura, tend to be single tumors, usually have an indolent course and show nonspecific symptoms. SFTP can be often diagnosed from an incidental finding of a single mass in the thorax and should be confirmed by biopsy and immunohistochemistry. A minority of cases may present Doege–Potter syndrome (DPS, episodes of refractory hypoglycemia) associated with production of insulin-like growth factor 2 (IGF-2). Both SFTP and DPS are rare occurrences with less than 2000 cases reported worldwide. The curative treatment is tumor resection. Two cases of patients with DPS caused by SFTP are presented below.