查詢結果分析
來源資料
相關文獻
- Solitary Fibrous Tumor Associated with Hypoglycemia--A Case Report of the Doege-Potter Syndrome
- Nesidioblastosis of the Pancreas in Adults with Persistent Hyperinsulinemic Hypoglycemia--A Report of Two Cases
- 反應性低血糖症
- Hormonal and Hematologic Changes Associated with Adrenal Insufficiency
- 新生兒低血糖症
- Neurosonographic Findings in High Risk Neonates with Hypoglycemia
- 糖尿病人與低血糖症
- 非胰島素瘤胰臟性低血糖症候群--一病例報告及文獻回顧
- Persistent Hyperinsulinemic Hypoglycemia of Infancy: A Case Report
- 運動性低血糖的處理與預防
頁籤選單縮合
| 題 名 | Solitary Fibrous Tumor Associated with Hypoglycemia--A Case Report of the Doege-Potter Syndrome=孤立性纖維腫瘤合併低血糖症--道奇波特症候群之病歷報告 |
|---|---|
| 作 者 | 陳兆弘; 黃常哲; 劉洪彰; 陳碧芳; 許清寅; | 書刊名 | 胸腔醫學 |
| 卷 期 | 17:4 2002.12[民91.12] |
| 頁 次 | 頁408-414 |
| 分類號 | 415.43 |
| 關鍵詞 | 道奇波特症候群; 肋膜孤立性纖維腫瘤; 低血糖症; Doege-potter syndrome; Solitary fibrous tumors of the pleura; Hypoglycemia; |
| 語 文 | 英文(English) |
| 中文摘要 | 肋膜孤立性纖維腫瘤是由間皮下層的間葉細胞所長出之不常見且生長慢速的腫瘤。與惡性間皮瘤之極差預後不同的是,肋膜孤立性纖維腫瘤通常是良性的,且與石綿暴露無關。免疫組織學檢查對於鑑別診斷非常有用。道奇波特症候群為一種極罕見的表現,為孤立性纖維腫瘤同時合併低血糖症。腫瘤過分製造第二型類胰島素生長因子會增加葡萄糖使用進而產生低血糖。手術切除是目前治療中最重要的方法。本文報告一名49歲女性,症狀為近一個月來漸進性的喘氣,抽血檢查發現嚴重的低血糖症,胸部X光呈現一個巨大腫瘤佔據大部分右側胸廓,電腦斷層掃描顯示出分葉狀、不均勻的腫塊,同時有局部鈣化。這病人接受右側開胸手術將腫瘤及右肺兩葉切除。組織學檢查確定孤立性纖維腫瘤。術後追蹤了二十五個月,病人並沒有復發,且低血糖也不再出現。 |
| 英文摘要 | Solitary fibrous tumors (SFTs) of the pleura are uncommon, slow-growing neoplasms, which originate from submesothelial mesenchymal cells. Unlike the ominous prognosis of malignant mesothelioma, SFTs of the pleura are typically benign and not related to asbestos. An immunohistochemical study is very helpful in the differential diagnosis. Doege-Potter Sndrome is a rare phenomenon that is presented with a solitary fibrous tumor associated with hypoglycemia. The overproduction of insulin-like growth factor II (IGF-II) by SFTs increases glucose utilization and gives rise to hypoglycemia. Surgical resection is the usual approach adopted for treatment. We report a 49-year-old female with Doege-Potter syndrome, whose initial presentation was a progressive shortness of breath for one month. Severe hypoglycemia was found in the blood sampling. The chest film showed a huge mass occupying the whole right lung field. The computed tomogram of the chest revealed a lobulated mass with heterogeneous density and calcification. A right thoracotomy with tumor resection and bilobectomy was performed. The histological examination proved the specimen to be a solitary fibrous tumor. After twenty-five months of follow-up, the patient was free from the tumor and episodes of hypoglycemia. |
本系統中英文摘要資訊取自各篇刊載內容。