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J Thorac Cardiovasc Surg 2000;119:185-187
© 2000 Mosby, Inc.

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SOLITARY FIBROUS TUMOR ASSOCIATED WITH HYPOGLYCEMIA: AN EXAMPLE OF THE DOEGE-POTTER SYNDROME

From the Oxford Heart Centre, The John Radcliffe Hospital, Oxford, United Kingdom.

Address for reprints: D. P. Taggart, MD, FRCS, Oxford Heart Centre, The John Radcliffe Hospital, Headington, Oxford, Oxfordshire, England OX3 9DU.

A previously fit and healthy 48-year-old man was admitted with a 2-week history of transient episodes of loss of consciousness and vagueness associated with sweating and nausea. He was a nonsmoker with an uneventful medical history. The patient also had recently begun having increasing breathlessness on climbing 2 flights of stairs. He had not noticed any change in his weight.

General examination showed no abnormalities except for tracheal deviation to the left with very little air entry into the right lung, which was dull to percussion. No focal neurologic abnormalities were observed.

Results of blood biochemical and hematologic studies were within normal limits except for a random blood glucose value that was 2.6 mmol/L.

Chest radiography showed a large space-occupying lesion in the right hemithorax causing the right lung to collapse and displacing the mediastinum to the left. Chest computed tomographic (CT) scan revealed a large well-circumscribed heterogeneous mass taking up most of the right hemithorax and compressing the adjacent lung with associated mediastinal shift to the left(Fig 1). Pleural relationships . . . [Full Text of this Article]

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