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Fibrous pleural tumor with hypoglycemia: case study.
Naeem Adhami1, Raees Ahmed, Patrick A Lento
1Department of Intensive Care Unit, King Fahad National Guard Hospital Riyadh, Kingdom of Saudi Arabia.
The Mount Sinai Journal of Medicine, New York
|November 16, 2004
Summary
Rare fibrous tumors of the pleura can cause hypoglycemia, a paraneoplastic syndrome. Early consideration of this rare tumor is crucial for diagnosing patients with unexplained hypoglycemia and syncope.
Area of Science:
- Oncology
- Endocrinology
- Thoracic Surgery
Background:
- Neoplastic tumors, especially intrathoracic ones like lung cancer, can cause paraneoplastic syndromes involving endocrinopathy.
- Fibrous tumors of the pleura are uncommon intrathoracic neoplasms, frequently benign and capable of significant growth.
Observation:
- A subset of pleural fibrous tumors are associated with hypoglycemia.
- Patients presenting with syncope and hypoglycemia rarely have this diagnosis considered, despite its historical recognition.
Findings:
- This report details a patient with a large pleural mass presenting with a hypoglycemic syndrome.
- Surgical intervention led to a complete cure of the patient's condition.
Implications:
- Highlights the importance of considering rare pleural tumors in the differential diagnosis of hypoglycemia.
- Suggests further investigation into the mechanisms linking pleural tumors to hypoglycemia.