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Presse Med. 2005 Nov 5;34(19 Pt 1):1370.

[Hypoglycemic coma revealing a solitary fibrous tumor of the pleura].

[Article in French]

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  • 1Service des urgences de chirurgie viscérale, CHU Ibn Rochd, Casablanca.



Solitary fibrous tumor of the pleura (TFSP) is rare. When associated with hypoglycemia it is commonly referred to as Doege-Potter syndrome.


A 51-year-old man was hospitalized for recurrent near-syncope associated with hypoglycemia. Clinical examination and then thoracic imaging clearly showed anomalies that corresponded to a mass occupying the entire left hemithorax. After resection, histological analysis diagnosed a fibrous tumor of the pleura.


Solitary fibrous tumors of the pleura are observed most often in patients aged 50 and 70 years. Hypoglycemia is rare, occurring in approximately 4% of cases. It is explained by the abnormal secretion of a type-II insulin-like growth factor. This tumor is treated by complete surgical excision.

[PubMed - indexed for MEDLINE]
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