Recurrent abdominopelvic solitary fibrous tumours with Doege–Potter syndrome successfully treated with surgical resection following embolization: a case report

TL;DR

A patient with a rare tumor causing low blood sugar was successfully treated with embolization followed by surgery.

Contribution

The case demonstrates successful management of a recurrent tumor with Doege–Potter syndrome using embolization before surgery.

Findings

Embolization before surgery helped avoid massive bleeding and complications.

Blood glucose stabilized after the third surgery following embolization.

Recurrent solitary fibrous tumors can be effectively managed with this combined approach.

Abstract

Solitary fibrous tumours can cause non-islet cell tumour-induced hypoglycaemia, a paraneoplastic syndrome resulting from extrapancreatic tumours secreting insulin-like growth factor -II. This is also known as Doege–Potter syndrome. A male patient in his 70s presented to our hospital with loss of consciousness because of a second relapse of the solitary fibrous tumour with Doege–Potter syndrome. A third surgery was performed after transcatheter arterial embolization. After surgery, blood glucose levels stabilized. Repeated relapses can occur in solitary fibrous tumours even after the complete resection. Embolization of the feeding arteries before resection may be effective in avoiding massive haemorrhage and reducing complications.

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