Late Onset of Non-islet Cell Tumor Hypoglycemia Managed via Multidisciplinary Treatment in a Patient with a Solitary Fibrous Tumor

Solitary fibrous tumor (SFT) is a rare subtype of soft tissue sarcoma (STS). We herein describe a case of late onset of non-islet cell tumor hypoglycemia (NICTH) that was managed via multidisciplinary treatment in a patient with SFT. A 67-year-old man previously diagnosed with SFT 4 years prior to t...

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Bibliographic Details
Published in:Internal Medicine 2018/08/15, Vol.57(16), pp.2431-2436
Main Authors: Takeuchi, Satoshi, Goda, Tomohiro, Taguchi, Jun, Douhata, Yuichi, Honma, Rio, Ariga, Shin, Ohhara, Yoshihito, Shimizu, Yasushi, Kinoshita, Ichiro, Fukuda, Izumi, Nagashima, Yoji, Akita, Hirotoshi
Format: Article
Language:English
Subjects:
Case Report
Chemotherapy
high molecular weight IGF-2
Hypoglycemia
Insulin
Internal medicine
Molecular weight
multidisciplinary treatment
non-islet cell tumor hypoglycemia
Paraneoplastic syndrome
Patients
Sarcoma
Soft tissue sarcoma
solitary fibrous tumor
Surgery
Tumors
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Summary:Solitary fibrous tumor (SFT) is a rare subtype of soft tissue sarcoma (STS). We herein describe a case of late onset of non-islet cell tumor hypoglycemia (NICTH) that was managed via multidisciplinary treatment in a patient with SFT. A 67-year-old man previously diagnosed with SFT 4 years prior to this presentation and treated with several rounds of surgery, presented with massive tumors. Eighteen months following his prescribed chemotherapy, the patient developed hypoglycemia. He was diagnosed with NICTH, after confirming the presence of high molecular weight insulin-like growth factor-2. This case suggests that paraneoplastic syndrome can occur even in cases of rare cancers, such as STS.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.0231-17