Solitary Fibrous Tumor of the Urinary Bladder Associated with Hypoglycemia: An Unusual Case of Doege-Potter Syndrome
Solitary fibrous tumors (SFT) are rare mesenchymal tumors, mostly benign. Less than 30 cases have been described for the urinary bladder, 2 of them malignant. These lesions show infrequent clinical and radiological usual features, making the diagnosis difficult. Therefore, an immunohistochemical and...
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Veröffentlicht in: | Urologia internationalis 2019-07, Vol.103 (1), p.120-124 |
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creator | Urbina-Lima, Ángel Daniel Román-Martín, Ana Ángeles Crespo-Santos, Antonia Martínez-Rodríguez, Amado Cienfuegos-Belmonte, Irene Rita Olmo-Ruiz, María Esteban-Artiaga, Ricardo Molina-Suarez, Juan Luis |
description | Solitary fibrous tumors (SFT) are rare mesenchymal tumors, mostly benign. Less than 30 cases have been described for the urinary bladder, 2 of them malignant. These lesions show infrequent clinical and radiological usual features, making the diagnosis difficult. Therefore, an immunohistochemical and morphological comprehensive study, which will provide the main prognostic factors, is necessary for histological diagnosis. The hypoinsulinemic hypoglycemia, as a paraneoplastic syndrome associated with SFTs – also known as the Doege-Potter Syndrome – is an infrequent finding, and quite incidental when located in the bladder. In order to obtain a fair oncological result, the recommended procedure for this type of tumors is surgical exeresis with negative margins, including non-standardized chemotherapy/radiotherapy as an alternative treatment. |
doi_str_mv | 10.1159/000499942 |
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Less than 30 cases have been described for the urinary bladder, 2 of them malignant. These lesions show infrequent clinical and radiological usual features, making the diagnosis difficult. Therefore, an immunohistochemical and morphological comprehensive study, which will provide the main prognostic factors, is necessary for histological diagnosis. The hypoinsulinemic hypoglycemia, as a paraneoplastic syndrome associated with SFTs – also known as the Doege-Potter Syndrome – is an infrequent finding, and quite incidental when located in the bladder. In order to obtain a fair oncological result, the recommended procedure for this type of tumors is surgical exeresis with negative margins, including non-standardized chemotherapy/radiotherapy as an alternative treatment.</description><identifier>ISSN: 0042-1138</identifier><identifier>EISSN: 1423-0399</identifier><identifier>DOI: 10.1159/000499942</identifier><identifier>PMID: 31039567</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Bladder diseases ; Case Report ; Case studies ; Diagnosis ; Humans ; Hypoglycemia ; Hypoglycemia - complications ; Hypoglycemia - diagnosis ; Insulin - blood ; Insulin-Like Growth Factor II - metabolism ; Male ; Margins of Excision ; Middle Aged ; Paraneoplastic syndromes ; Paraneoplastic Syndromes - complications ; Paraneoplastic Syndromes - diagnosis ; Paraneoplastic Syndromes - therapy ; Prognosis ; Sarcoma ; Solitary Fibrous Tumors - complications ; Solitary Fibrous Tumors - diagnosis ; Solitary Fibrous Tumors - therapy ; Syndrome ; Urinary Bladder - pathology ; Urinary Bladder Neoplasms - complications ; Urinary Bladder Neoplasms - diagnosis ; Urinary Bladder Neoplasms - therapy</subject><ispartof>Urologia internationalis, 2019-07, Vol.103 (1), p.120-124</ispartof><rights>2019 S. Karger AG, Basel</rights><rights>2019 S. Karger AG, Basel.</rights><rights>COPYRIGHT 2019 S. Karger AG</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c401t-3be2fdacd5407fbbf540f6e6d907d9054e5cb9adfbd3bdf7fac88211dabbcc5b3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,2427,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31039567$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Urbina-Lima, Ángel Daniel</creatorcontrib><creatorcontrib>Román-Martín, Ana Ángeles</creatorcontrib><creatorcontrib>Crespo-Santos, Antonia</creatorcontrib><creatorcontrib>Martínez-Rodríguez, Amado</creatorcontrib><creatorcontrib>Cienfuegos-Belmonte, Irene Rita</creatorcontrib><creatorcontrib>Olmo-Ruiz, María</creatorcontrib><creatorcontrib>Esteban-Artiaga, Ricardo</creatorcontrib><creatorcontrib>Molina-Suarez, Juan Luis</creatorcontrib><title>Solitary Fibrous Tumor of the Urinary Bladder Associated with Hypoglycemia: An Unusual Case of Doege-Potter Syndrome</title><title>Urologia internationalis</title><addtitle>Urol Int</addtitle><description>Solitary fibrous tumors (SFT) are rare mesenchymal tumors, mostly benign. Less than 30 cases have been described for the urinary bladder, 2 of them malignant. These lesions show infrequent clinical and radiological usual features, making the diagnosis difficult. Therefore, an immunohistochemical and morphological comprehensive study, which will provide the main prognostic factors, is necessary for histological diagnosis. The hypoinsulinemic hypoglycemia, as a paraneoplastic syndrome associated with SFTs – also known as the Doege-Potter Syndrome – is an infrequent finding, and quite incidental when located in the bladder. In order to obtain a fair oncological result, the recommended procedure for this type of tumors is surgical exeresis with negative margins, including non-standardized chemotherapy/radiotherapy as an alternative treatment.</description><subject>Bladder diseases</subject><subject>Case Report</subject><subject>Case studies</subject><subject>Diagnosis</subject><subject>Humans</subject><subject>Hypoglycemia</subject><subject>Hypoglycemia - complications</subject><subject>Hypoglycemia - diagnosis</subject><subject>Insulin - blood</subject><subject>Insulin-Like Growth Factor II - metabolism</subject><subject>Male</subject><subject>Margins of Excision</subject><subject>Middle Aged</subject><subject>Paraneoplastic syndromes</subject><subject>Paraneoplastic Syndromes - complications</subject><subject>Paraneoplastic Syndromes - diagnosis</subject><subject>Paraneoplastic Syndromes - therapy</subject><subject>Prognosis</subject><subject>Sarcoma</subject><subject>Solitary Fibrous Tumors - complications</subject><subject>Solitary Fibrous Tumors - diagnosis</subject><subject>Solitary Fibrous Tumors - therapy</subject><subject>Syndrome</subject><subject>Urinary Bladder - pathology</subject><subject>Urinary Bladder Neoplasms - complications</subject><subject>Urinary Bladder Neoplasms - diagnosis</subject><subject>Urinary Bladder Neoplasms - therapy</subject><issn>0042-1138</issn><issn>1423-0399</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkd1rFDEUxYModlt98F0k0Jf6MG0yma_4tl2tLZQqtPsc8nGzjc5M1iRD2f_eLFMXhBLChXt_55Kcg9AHSs4prfkFIaTinFflK7SgVckKwjh_jRa5XRaUsu4IHcf4i5AM8_YtOmI0E3XTLlC6971LMuzwlVPBTxE_TIMP2FucHgGvgxv3w8teGgMBL2P02skEBj-59Iivd1u_6XcaBie_4OWI1-MUJ9njlYywX_LVwwaKnz6lrL7fjSb4Ad6hN1b2Ed4_1xO0vvr2sLoubn98v1ktbwtdEZoKpqC0RmpTV6S1StlcbQON4aTNt66g1opLY5VhytjWSt11JaVGKqV1rdgJOpv3boP_M0FMYnBRQ9_LEfJXRVnSjhFGaZPR0xndyB6EG61PQeo9LpZNybNvtKszdf4ClY_JBmg_gnW5_5_g8yzQwccYwIptcEN2VFAi9tmJQ3aZ_fT82kkNYA7kv7Ay8HEGfsuwgXAADvrTF8frm7uZEFtj2V9STKmz</recordid><startdate>20190701</startdate><enddate>20190701</enddate><creator>Urbina-Lima, Ángel Daniel</creator><creator>Román-Martín, Ana Ángeles</creator><creator>Crespo-Santos, Antonia</creator><creator>Martínez-Rodríguez, Amado</creator><creator>Cienfuegos-Belmonte, Irene Rita</creator><creator>Olmo-Ruiz, María</creator><creator>Esteban-Artiaga, Ricardo</creator><creator>Molina-Suarez, Juan Luis</creator><general>S. Karger AG</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20190701</creationdate><title>Solitary Fibrous Tumor of the Urinary Bladder Associated with Hypoglycemia: An Unusual Case of Doege-Potter Syndrome</title><author>Urbina-Lima, Ángel Daniel ; Román-Martín, Ana Ángeles ; Crespo-Santos, Antonia ; Martínez-Rodríguez, Amado ; Cienfuegos-Belmonte, Irene Rita ; Olmo-Ruiz, María ; Esteban-Artiaga, Ricardo ; Molina-Suarez, Juan Luis</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c401t-3be2fdacd5407fbbf540f6e6d907d9054e5cb9adfbd3bdf7fac88211dabbcc5b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Bladder diseases</topic><topic>Case Report</topic><topic>Case studies</topic><topic>Diagnosis</topic><topic>Humans</topic><topic>Hypoglycemia</topic><topic>Hypoglycemia - complications</topic><topic>Hypoglycemia - diagnosis</topic><topic>Insulin - blood</topic><topic>Insulin-Like Growth Factor II - metabolism</topic><topic>Male</topic><topic>Margins of Excision</topic><topic>Middle Aged</topic><topic>Paraneoplastic syndromes</topic><topic>Paraneoplastic Syndromes - complications</topic><topic>Paraneoplastic Syndromes - diagnosis</topic><topic>Paraneoplastic Syndromes - therapy</topic><topic>Prognosis</topic><topic>Sarcoma</topic><topic>Solitary Fibrous Tumors - complications</topic><topic>Solitary Fibrous Tumors - diagnosis</topic><topic>Solitary Fibrous Tumors - therapy</topic><topic>Syndrome</topic><topic>Urinary Bladder - pathology</topic><topic>Urinary Bladder Neoplasms - complications</topic><topic>Urinary Bladder Neoplasms - diagnosis</topic><topic>Urinary Bladder Neoplasms - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Urbina-Lima, Ángel Daniel</creatorcontrib><creatorcontrib>Román-Martín, Ana Ángeles</creatorcontrib><creatorcontrib>Crespo-Santos, Antonia</creatorcontrib><creatorcontrib>Martínez-Rodríguez, Amado</creatorcontrib><creatorcontrib>Cienfuegos-Belmonte, Irene Rita</creatorcontrib><creatorcontrib>Olmo-Ruiz, María</creatorcontrib><creatorcontrib>Esteban-Artiaga, Ricardo</creatorcontrib><creatorcontrib>Molina-Suarez, Juan Luis</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Urologia internationalis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Urbina-Lima, Ángel Daniel</au><au>Román-Martín, Ana Ángeles</au><au>Crespo-Santos, Antonia</au><au>Martínez-Rodríguez, Amado</au><au>Cienfuegos-Belmonte, Irene Rita</au><au>Olmo-Ruiz, María</au><au>Esteban-Artiaga, Ricardo</au><au>Molina-Suarez, Juan Luis</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Solitary Fibrous Tumor of the Urinary Bladder Associated with Hypoglycemia: An Unusual Case of Doege-Potter Syndrome</atitle><jtitle>Urologia internationalis</jtitle><addtitle>Urol Int</addtitle><date>2019-07-01</date><risdate>2019</risdate><volume>103</volume><issue>1</issue><spage>120</spage><epage>124</epage><pages>120-124</pages><issn>0042-1138</issn><eissn>1423-0399</eissn><abstract>Solitary fibrous tumors (SFT) are rare mesenchymal tumors, mostly benign. Less than 30 cases have been described for the urinary bladder, 2 of them malignant. These lesions show infrequent clinical and radiological usual features, making the diagnosis difficult. Therefore, an immunohistochemical and morphological comprehensive study, which will provide the main prognostic factors, is necessary for histological diagnosis. The hypoinsulinemic hypoglycemia, as a paraneoplastic syndrome associated with SFTs – also known as the Doege-Potter Syndrome – is an infrequent finding, and quite incidental when located in the bladder. In order to obtain a fair oncological result, the recommended procedure for this type of tumors is surgical exeresis with negative margins, including non-standardized chemotherapy/radiotherapy as an alternative treatment.</abstract><cop>Basel, Switzerland</cop><pub>S. Karger AG</pub><pmid>31039567</pmid><doi>10.1159/000499942</doi><tpages>4</tpages></addata></record> |
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subjects | Bladder diseases Case Report Case studies Diagnosis Humans Hypoglycemia Hypoglycemia - complications Hypoglycemia - diagnosis Insulin - blood Insulin-Like Growth Factor II - metabolism Male Margins of Excision Middle Aged Paraneoplastic syndromes Paraneoplastic Syndromes - complications Paraneoplastic Syndromes - diagnosis Paraneoplastic Syndromes - therapy Prognosis Sarcoma Solitary Fibrous Tumors - complications Solitary Fibrous Tumors - diagnosis Solitary Fibrous Tumors - therapy Syndrome Urinary Bladder - pathology Urinary Bladder Neoplasms - complications Urinary Bladder Neoplasms - diagnosis Urinary Bladder Neoplasms - therapy |
title | Solitary Fibrous Tumor of the Urinary Bladder Associated with Hypoglycemia: An Unusual Case of Doege-Potter Syndrome |
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