IJU case reports · 2025
Solitary Fibrous Tumor With Doege-Potter Syndrome Successfully Treated With Preoperative Transcatheter Arterial Embolization and Complete Excision; A Case Report.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Narimatsu Rei, Matsumoto Ryuji, Miyata Haruka, Osawa Takahiro, Abo Daisuke, Wakabayashi Kento, Tomaru Utano, Kameda Hiraku, Fukuda Izumi, Abe Takashige
Аннотация
INTRODUCTION: Doege-Potter syndrome (DPS) is a rare paraneoplastic phenomenon of severe hypoglycemia associated with solitary fibrous tumors (SFT). We report a case of a giant pelvic SFT with DPS, which was managed with preoperative arterial embolization and complete excision.
CASE PRESENTATION: This report describes the case of a 77-year-old patient with persistent hypoglycemia and a giant pelvic mass. He required continuous total parenteral nutrition (TPN) for severe hypoglycemia. CT showed a giant hypervascular mass (20 × 18 × 15 cm) in the pelvic space. Tumor biopsy showed SFT. To avoid intraoperative brisk bleeding, transcatheter arterial embolization (TAE) of the main feeders was performed 1 day before surgery. The tumor was completely resected via midline abdominal incision. Hypoglycemia resolved postoperatively. He was recurrence-free for 11 months after surgery.
CONCLUSION: The combination of preoperative TAE and surgical resection appears to be an effective therapeutic strategy for DPS-associated SFT.
CASE PRESENTATION: This report describes the case of a 77-year-old patient with persistent hypoglycemia and a giant pelvic mass. He required continuous total parenteral nutrition (TPN) for severe hypoglycemia. CT showed a giant hypervascular mass (20 × 18 × 15 cm) in the pelvic space. Tumor biopsy showed SFT. To avoid intraoperative brisk bleeding, transcatheter arterial embolization (TAE) of the main feeders was performed 1 day before surgery. The tumor was completely resected via midline abdominal incision. Hypoglycemia resolved postoperatively. He was recurrence-free for 11 months after surgery.
CONCLUSION: The combination of preoperative TAE and surgical resection appears to be an effective therapeutic strategy for DPS-associated SFT.