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
Hauptverfasser: 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
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container_issue 1
container_start_page 120
container_title Urologia internationalis
container_volume 103
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.
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source MEDLINE; Karger Journals
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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