Korean J Med.  2004 Aug;67(2):204-207.

A case of localized fibrous tumor of the pleura presenting with hypoglycemia

Affiliations
  • 1Department of Internal Medicine, Goheung General Hospital, Chunnam, Korea. bong2888@lycos.co.kr
  • 2Department of Chest Surgery, Goheung General Hospital, Chunnam, Korea.
  • 3Department of Radiology, Goheung General Hospital, Chunnam, Korea.

Abstract

Localized fibrous tumor of the pleura is rare, slowly growing, benign tumor. Most of these tumors clinically behave asymptomatically, although tumor-associated hypoglycemia occurs in a few cases and lead to hypoglycemic coma. Laboratory investigations show elevation of IGF-II with a 2-3 times higher effect on the blood glucose level than insulin. Surgical resection of the tumor is recommended. We report on the case of a 81-year-old man, who complained of hypoglycemic episodes. Diagnostic evaluation showed a fibrous tumor of pleura attached to the right diaphragm.

Keyword

Localized fibrous tumor; Pleura; Hypoglycemia

MeSH Terms

Aged, 80 and over
Blood Glucose
Coma
Diaphragm
Humans
Hypoglycemia*
Insulin
Insulin-Like Growth Factor II
Pleura*
Blood Glucose
Insulin
Insulin-Like Growth Factor II
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