Hypoglyceamia in a Patient with a Solitary Fibrous Tumour
KeywordsHypoglycaemia, Non Insulin mediated hypoglycaemia, Insulin like growth factor, Solitary fibrous tumour, Retroperitoneal tumour
Objective: To illustrate an unusual mechanism causing hypoglycaemia.
Material and methods: A 76-year-old man presented with episodes of agitation and confusion and was resuscitated with oral glucose gel when found to be hypoglycaemic.
Results: A CT scan for an abdominal mass confirmed a solitary fibrous tumour (SFT). The sarcoma multidisciplinary team suggested conservative management. The patient's episodic hypoglycaemia was managed with diet modification including corn-based starch, scheduled snacks and dexamethasone. Glucose levels were within normal range at discharge from hospital. The patient was referred to the palliative care team for follow-up.
Conclusion: SFTs causing non-islet cell tumour hypoglycaemia are difficult to treat.
Issue: Vol 3 No 3 (view)