Frontiers in Endocrinology (May 2022)

Severe Hypoglycemia Caused by a Giant Borderline Phyllodes Tumor of the Breast: A Case Report and Literature Review

  • Yaoxia Liu,
  • Yaoxia Liu,
  • Min Zhang,
  • Min Zhang,
  • Xudan Yang,
  • Xudan Yang,
  • Min Zhang,
  • Min Zhang,
  • Zhen Fan,
  • Zhen Fan,
  • Yi Li,
  • Yi Li,
  • Tao Wang,
  • Tao Wang,
  • Tao Wang,
  • Ping Chen,
  • Ping Chen

DOI
https://doi.org/10.3389/fendo.2022.871998
Journal volume & issue
Vol. 13

Abstract

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A case of hypoglycemic coma caused by a giant borderline phyllodes tumor of the breast has been described. The patient, a 63-year-old woman, was admitted with recurrent unconsciousness. She had a giant breast tumor with decreased blood glucose, insulin, and C-peptide. The patient’s hypoglycemia resolved rapidly after resection of the breast tumor. Pathological examination indicated a borderline phyllodes tumor of the breast, and immunohistochemistry suggested high expression of insulin-like growth factor-2 (IGF-2) in the tumor tissue. A literature review is also included to summarize the clinical characteristics of such patients and to serve as a unique resource for clinical diagnosis and treatment of similar cases.

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