Doege-Potter syndrome: a rare presentation of a solitary fibrous tumor of the pleura

Solitary fibrous tumors of the pleura usually have a benign behavior, although some may present malignant characteristics - recurrences, metastases, and paraneoplastic syndromes. When a solitary fibrous tumor is responsible for the development of hypoglycemia, we have a case of Doege-Potter syndrome...

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Main Authors: Liu Estradioto, Rodrigo Bettega de Araujo, Nelson Bergonse, Vanessa Bettega de Araújo, Marlos de Souza Coelho, Larissa Luvison Gomes da Silva
Format: Article
Language:English
Published: Sociedade Brasileira de Oncologia Clínica, Sociedade Brasileira de Cirurgia Clínica and Sociedade Brasileira de Radioterapia 2021-10-01
Series:Brazilian Journal of Oncology
Subjects:
Online Access:http://www.brazilianjournalofoncology.com.br/details/145/en-US/doege-potter-syndrome--a-rare-presentation-of-a-solitary-fibrous-tumor-of-the-pleura
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author Liu Estradioto
Rodrigo Bettega de Araujo
Nelson Bergonse
Vanessa Bettega de Araújo
Marlos de Souza Coelho
Larissa Luvison Gomes da Silva
author_facet Liu Estradioto
Rodrigo Bettega de Araujo
Nelson Bergonse
Vanessa Bettega de Araújo
Marlos de Souza Coelho
Larissa Luvison Gomes da Silva
author_sort Liu Estradioto
collection DOAJ
description Solitary fibrous tumors of the pleura usually have a benign behavior, although some may present malignant characteristics - recurrences, metastases, and paraneoplastic syndromes. When a solitary fibrous tumor is responsible for the development of hypoglycemia, we have a case of Doege-Potter syndrome. We describe a case of a male patient that presented recurring and severe hypoglycemia, being also diagnosed with an extensive intrathoracic mass, which was proven to be a solitary fibrous tumor of the pleura. The treatment, through the maintenance of proper serum levels of glucose (administration of solutions with glucose and steroids), followed by the surgical resection of the tumor, promoted the complete resolution of the hypoglycemia episodes. The early recognition of this condition and the proper treatment is essential for a good clinical outcome. It is important to underscore that the multidisciplinary evaluation (oncologists, radiologists, surgeons, and pathologists) of rare tumors is recommended to achieve better therapeutic results.
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spelling doaj.art-59a7621fb63442bea3215a9df3b600a12023-09-26T09:00:16ZengSociedade Brasileira de Oncologia Clínica, Sociedade Brasileira de Cirurgia Clínica and Sociedade Brasileira de RadioterapiaBrazilian Journal of Oncology2526-87322021-10-01170010.5935/2526-8732.20210001Doege-Potter syndrome: a rare presentation of a solitary fibrous tumor of the pleuraLiu Estradioto0Rodrigo Bettega de Araujo1https://orcid.org/0000-0001-7234-7124Nelson Bergonse2Vanessa Bettega de Araújo3Marlos de Souza Coelho4Larissa Luvison Gomes da Silva5Hospital Santa Casa de Misericórdia de Curitiba, Thoracic Surgery - Curitiba - Paraná - BrazilHospital Santa Casa de Misericórdia de Curitiba, Thoracic Surgery - Curitiba - Paraná - BrazilHospital Santa Casa de Misericórdia de Curitiba, Thoracic Surgery - Curitiba - Paraná - BrazilHospital Santa Casa de Misericórdia de Curitiba, Thoracic Surgery - Curitiba - Paraná - BrazilHospital Santa Casa de Misericórdia de Curitiba, Thoracic Surgery - Curitiba - Paraná - BrazilHospital Santa Casa de Misericórdia de Curitiba, Thoracic Surgery - Curitiba - Paraná - BrazilSolitary fibrous tumors of the pleura usually have a benign behavior, although some may present malignant characteristics - recurrences, metastases, and paraneoplastic syndromes. When a solitary fibrous tumor is responsible for the development of hypoglycemia, we have a case of Doege-Potter syndrome. We describe a case of a male patient that presented recurring and severe hypoglycemia, being also diagnosed with an extensive intrathoracic mass, which was proven to be a solitary fibrous tumor of the pleura. The treatment, through the maintenance of proper serum levels of glucose (administration of solutions with glucose and steroids), followed by the surgical resection of the tumor, promoted the complete resolution of the hypoglycemia episodes. The early recognition of this condition and the proper treatment is essential for a good clinical outcome. It is important to underscore that the multidisciplinary evaluation (oncologists, radiologists, surgeons, and pathologists) of rare tumors is recommended to achieve better therapeutic results.http://www.brazilianjournalofoncology.com.br/details/145/en-US/doege-potter-syndrome--a-rare-presentation-of-a-solitary-fibrous-tumor-of-the-pleurasolitary fibrous tumorpleuralparaneoplastic endocrine syndromesthoracic neoplasms
spellingShingle Liu Estradioto
Rodrigo Bettega de Araujo
Nelson Bergonse
Vanessa Bettega de Araújo
Marlos de Souza Coelho
Larissa Luvison Gomes da Silva
Doege-Potter syndrome: a rare presentation of a solitary fibrous tumor of the pleura
Brazilian Journal of Oncology
solitary fibrous tumor
pleural
paraneoplastic endocrine syndromes
thoracic neoplasms
title Doege-Potter syndrome: a rare presentation of a solitary fibrous tumor of the pleura
title_full Doege-Potter syndrome: a rare presentation of a solitary fibrous tumor of the pleura
title_fullStr Doege-Potter syndrome: a rare presentation of a solitary fibrous tumor of the pleura
title_full_unstemmed Doege-Potter syndrome: a rare presentation of a solitary fibrous tumor of the pleura
title_short Doege-Potter syndrome: a rare presentation of a solitary fibrous tumor of the pleura
title_sort doege potter syndrome a rare presentation of a solitary fibrous tumor of the pleura
topic solitary fibrous tumor
pleural
paraneoplastic endocrine syndromes
thoracic neoplasms
url http://www.brazilianjournalofoncology.com.br/details/145/en-US/doege-potter-syndrome--a-rare-presentation-of-a-solitary-fibrous-tumor-of-the-pleura
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