Solitary fibrous tumour of the liver with IGF-II-related hypoglycaemia. A case report.
Langenbecks Arch Surg 2008;
393:611-6. [PMID:
18418627 DOI:
10.1007/s00423-008-0329-z]
[Citation(s) in RCA: 24] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2008] [Accepted: 03/14/2008] [Indexed: 01/27/2023]
Abstract
INTRODUCTION
We report a rare case of solitary fibrous tumour (SFT) of the liver associated with non-islet cell tumour hypoglycaemia (NICTH), which caused a hypoglycaemic coma due to over-production of big-insulin-like growth factor-II.
DISCUSSION
Although generally benign, SFTs are better characterised, lately due to Western blot, but less than 40 cases have been reported where the liver is the target organ. In only two benign cases has hypoglycaemia been a feature.
CONCLUSION
We report for the first time a demonstrable relationship between benign liver SFT and NICTH.
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