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Eur J Cardiothorac Surg 1999;15:84-86
© 1999 Elsevier Science NL

Case report

Hypoglycaemia associated with a solitary fibrous tumour of the pleura

Department of Cardiothoracic Surgery, Manchester Heart Centre, Manchester Royal Infirmary, Oxford Road, Manchester, M13 9WL, UK

Received 25 March 1998; received in revised form 28 September 1998; accepted 28 October 1998.

Corresponding author. Tel.: +44-161-276-8521; fax: +44-161-276-8522

We report the interesting case of an elderly woman who presented with hypoglycaemic episodes and weight loss. She was found to have a solitary fibrous tumour weighing more than 1.7 kg arising from the diaphragmatic pleura, which had been producing insulin-like growth factor II. After surgical removal of this well-encapsulated, pedunculated tumour her hypoglycaemia resolved and she returned to normal both clinically and biochemically.

Key Words: Non-islet cell tumour hypoglycaemia • Insulin-like growth factor II • Solitary fibrous tumour

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