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Published in: Journal of Cardiothoracic Surgery 1/2017

Open Access 01-12-2017 | Case report

Doege-potter syndrome: a report of a histologically benign but clinically malignant case

Authors: Do Wan Kim, Kook Joo Na, Ju Sik Yun, Sang Yun Song

Published in: Journal of Cardiothoracic Surgery | Issue 1/2017

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Abstract

Background

Solitary fibrous tumors of the pleura (SFTPs) are relatively rare tumors that originate from mesenchymal cells of submesothelial tissue of the pleura. Most patients with SFTPs are asymptomatic; however, pleuritic chest pain, cough, and dyspnea can develop. If hypoglycemia is associated with a solitary fibrous tumor, it is referred to as the Doege-Potter syndrome.

Case presentation

A 70-year-old man had visited our hospital with a chief complaint of dyspnea, and he was diagnosed as having a solitary fibrous tumor. A few years later, he developed hypoglycemia, and he underwent excision of the mass.

Conclusion

Occasionally, SFTPs induce several paraneoplastic events, such as hypertrophic osteoarthropathy. We described here a patient with an SFTP with Doege-Potter syndrome who was successfully treated with complete resection. Although lesions can be histologically benign, they can clinically present with malignant features.
Literature
1.
go back to reference Kalebi AY, Hale MJ, Wong ML, Hoffman T, Murray J. Surgically cured hypoglycemia secondary to pleural solitary fibrous tumour: case report and update review on the Doege-potter syndrome. J Cardiothorac Surg. 2009;4:45.CrossRefPubMedPubMedCentral Kalebi AY, Hale MJ, Wong ML, Hoffman T, Murray J. Surgically cured hypoglycemia secondary to pleural solitary fibrous tumour: case report and update review on the Doege-potter syndrome. J Cardiothorac Surg. 2009;4:45.CrossRefPubMedPubMedCentral
2.
go back to reference Scrimgeour LA, Grada Z, Aswad BI, Ng T. Lessons learned from an untreated “benign” thoracic tumor. Ann Thorac Surg. 2017;103(2):e135–7.CrossRefPubMed Scrimgeour LA, Grada Z, Aswad BI, Ng T. Lessons learned from an untreated “benign” thoracic tumor. Ann Thorac Surg. 2017;103(2):e135–7.CrossRefPubMed
3.
go back to reference Avramenko A, Lahjibi-Paulet H, Gibault L, Roussel A, Grand B, Le Pimpec-Barthes F. Doege-potter syndrome: hypoglycaemic coma in a 90-year old due to a solitary fibrous tumour. Age Ageing. 2017;46(3):527–9.CrossRef Avramenko A, Lahjibi-Paulet H, Gibault L, Roussel A, Grand B, Le Pimpec-Barthes F. Doege-potter syndrome: hypoglycaemic coma in a 90-year old due to a solitary fibrous tumour. Age Ageing. 2017;46(3):527–9.CrossRef
4.
go back to reference de Perrot M, Fischer S, Brundler MA, Sekine Y, Keshavjee S. Solitary fibrous tumors of the pleura. Ann Thorac Surg. 2002;74(1):285–93.CrossRefPubMed de Perrot M, Fischer S, Brundler MA, Sekine Y, Keshavjee S. Solitary fibrous tumors of the pleura. Ann Thorac Surg. 2002;74(1):285–93.CrossRefPubMed
5.
go back to reference Klemperer P, Coleman BR. Primary neoplasms of the pleura. A report of five cases. Am J Ind Med. 1992;22(1):1–31.CrossRefPubMed Klemperer P, Coleman BR. Primary neoplasms of the pleura. A report of five cases. Am J Ind Med. 1992;22(1):1–31.CrossRefPubMed
6.
go back to reference Briselli M, Mark EJ, Dickersin GR. Solitary fibrous tumors of the pleura: eight new cases and review of 360 cases in the literature. Cancer. 1981;47(11):2678–89.CrossRefPubMed Briselli M, Mark EJ, Dickersin GR. Solitary fibrous tumors of the pleura: eight new cases and review of 360 cases in the literature. Cancer. 1981;47(11):2678–89.CrossRefPubMed
7.
go back to reference Sung SH, Chang JW, Kim J, Lee KS, Han J, Park SI. Solitary fibrous tumors of the pleura: surgical outcome and clinical course. Ann Thorac Surg. 2005;79(1):303–7.CrossRefPubMed Sung SH, Chang JW, Kim J, Lee KS, Han J, Park SI. Solitary fibrous tumors of the pleura: surgical outcome and clinical course. Ann Thorac Surg. 2005;79(1):303–7.CrossRefPubMed
8.
go back to reference Zafar H, Takimoto CH, Weiss G. Doege-potter syndrome: hypoglycemia associated with malignant solitary fibrous tumor. Med Oncol. 2003;20(4):403–8.CrossRefPubMed Zafar H, Takimoto CH, Weiss G. Doege-potter syndrome: hypoglycemia associated with malignant solitary fibrous tumor. Med Oncol. 2003;20(4):403–8.CrossRefPubMed
9.
go back to reference Meng W, Zhu HH, Li H, Wang G, Wei D, Feng X. Solitary fibrous tumors of the pleura with Doege-potter syndrome: a case report and three-decade review of the literature. BMC Res Notes. 2014;7:515.CrossRefPubMedPubMedCentral Meng W, Zhu HH, Li H, Wang G, Wei D, Feng X. Solitary fibrous tumors of the pleura with Doege-potter syndrome: a case report and three-decade review of the literature. BMC Res Notes. 2014;7:515.CrossRefPubMedPubMedCentral
11.
go back to reference England DM, Hochholzer L, McCarthy MJ. Localized benign and malignant fibrous tumors of the pleura. A clinicopathologic review of 223 cases. Am J Surg Pathol. 1989;13(8):640–58.CrossRefPubMed England DM, Hochholzer L, McCarthy MJ. Localized benign and malignant fibrous tumors of the pleura. A clinicopathologic review of 223 cases. Am J Surg Pathol. 1989;13(8):640–58.CrossRefPubMed
12.
go back to reference Hohenforst-Schmidt W, Grapatsas K, Dahm M, Zarogoulidis P, Leivaditis V, Kotoulas C, Tomos P, Koletsis E, Tsilogianni Z, Benhassen N, et al. Solitary fibrous tumor: a center's experience and an overview of the symptomatology, the diagnostic and therapeutic procedures of this rare tumor. Respir Med Case Rep. 2017;21:99–104.PubMedPubMedCentral Hohenforst-Schmidt W, Grapatsas K, Dahm M, Zarogoulidis P, Leivaditis V, Kotoulas C, Tomos P, Koletsis E, Tsilogianni Z, Benhassen N, et al. Solitary fibrous tumor: a center's experience and an overview of the symptomatology, the diagnostic and therapeutic procedures of this rare tumor. Respir Med Case Rep. 2017;21:99–104.PubMedPubMedCentral
13.
go back to reference de Perrot M, Kurt AM, Robert JH, Borisch B, Spiliopoulos A. Clinical behavior of solitary fibrous tumors of the pleura. Ann Thorac Surg. 1999;67(5):1456–9.CrossRefPubMed de Perrot M, Kurt AM, Robert JH, Borisch B, Spiliopoulos A. Clinical behavior of solitary fibrous tumors of the pleura. Ann Thorac Surg. 1999;67(5):1456–9.CrossRefPubMed
14.
go back to reference Balduyck B, Lauwers P, Govaert K, Hendriks J, De Maeseneer M, Van Schil P. Solitary fibrous tumor of the pleura with associated hypoglycemia: Doege-potter syndrome: a case report. J Thorac Oncol. 2006;1(6):588–90.PubMed Balduyck B, Lauwers P, Govaert K, Hendriks J, De Maeseneer M, Van Schil P. Solitary fibrous tumor of the pleura with associated hypoglycemia: Doege-potter syndrome: a case report. J Thorac Oncol. 2006;1(6):588–90.PubMed
Metadata
Title
Doege-potter syndrome: a report of a histologically benign but clinically malignant case
Authors
Do Wan Kim
Kook Joo Na
Ju Sik Yun
Sang Yun Song
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Journal of Cardiothoracic Surgery / Issue 1/2017
Electronic ISSN: 1749-8090
DOI
https://doi.org/10.1186/s13019-017-0630-4

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