{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T14:53:07Z","timestamp":1772549587884,"version":"3.50.1"},"reference-count":16,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,12,7]]},"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>Solitary fibrous tumours (SFTs) are rare soft tissue masses that are often clinically silent until they cause mass effect. A paraneoplastic syndrome manifesting as persistent hypoglycaemia, termed Doege-Potter syndrome (DPS), can be associated with these lesions. Surgical treatment is recommended for the management of these tumours.<\/jats:p>\n               <jats:p>A case of a man in his 60s who was admitted for altered mental status and hypoglycaemia is herein described. Physical examination revealed a distended, asymmetric abdomen with a firm palpable mass in the left upper quadrant. Imaging demonstrated a 24\u2009cm abdominal mass, confirmed to be an SFT on pathology. Biochemical evaluation was consistent with DPS. Surgical excision was performed; however, its large size and retroperitoneal location complicated intraoperative visualisation, ultimately requiring aortic reconstruction, multiple extremity fasciotomy, nephrectomy and prolonged intensive care unit stay.<\/jats:p>\n               <jats:p>Few publications describe DPS. While tumour excision can be curative, this case report describes challenges that may arise with surgical management.<\/jats:p>","DOI":"10.1136\/bcr-2024-259841","type":"journal-article","created":{"date-parts":[[2025,1,4]],"date-time":"2025-01-04T22:50:13Z","timestamp":1736031013000},"page":"e259841","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Surgical resection of a solitary fibrous tumour causing refractory hypoglycaemia: Doege-Potter syndrome"],"prefix":"10.1136","volume":"18","author":[{"given":"Ryan D","family":"Rosen","sequence":"first","affiliation":[{"name":"Michael and Marian Ilitch Department of Surgery, Wayne State University School of Medicine, Detroit, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"O'Brien","sequence":"additional","affiliation":[{"name":"Michael and Marian Ilitch Department of Surgery, Wayne State University School of Medicine, Detroit, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramya","family":"Ersala","sequence":"additional","affiliation":[{"name":"College of Osteopathic Medicine, Michigan State University, East Lansing, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John M","family":"Barnwell","sequence":"additional","affiliation":[{"name":"Department of Surgery, Sinai Grace Hospital, Detroit Medical Center, Detroit, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,1,4]]},"reference":[{"key":"2025082722160165000_18.1.e259841.1","doi-asserted-by":"crossref","DOI":"10.21037\/tgh.2018.11.02","article-title":"Solitary fibrous tumor","volume":"3","author":"Davanzo","year":"2018","journal-title":"Transl Gastroenterol Hepatol"},{"key":"2025082722160165000_18.1.e259841.2","doi-asserted-by":"crossref","DOI":"10.3390\/cancers13122913","article-title":"A Comprehensive Review 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Valle","year":"2022","journal-title":"Cureus"},{"key":"2025082722160165000_18.1.e259841.11","doi-asserted-by":"crossref","first-page":"4979","DOI":"10.21037\/tcr-21-887","article-title":"Transcatheter arterial embolization of malignant pelvic solitary fibrous tumor: case report and literature review","volume":"10","author":"Yan","year":"2021","journal-title":"Transl Cancer Res"},{"key":"2025082722160165000_18.1.e259841.12","doi-asserted-by":"crossref","first-page":"1691","DOI":"10.1159\/000520381","article-title":"A Successful Chemoembolization of a Retroperitoneal Soft Tissue Sarcoma: A Case Report","volume":"14","author":"David Filho","year":"2021","journal-title":"Case Rep Oncol"},{"key":"2025082722160165000_18.1.e259841.13","first-page":"138","article-title":"Management of retroperitoneal sarcomas: main prognostic factors for local recurrence and survival","volume":"17","author":"Theodosopoulos","year":"2012","journal-title":"J 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