{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T00:55:42Z","timestamp":1780620942733,"version":"3.54.1"},"reference-count":25,"publisher":"The Endocrine Society","issue":"3","license":[{"start":{"date-parts":[[2019,1,9]],"date-time":"2019-01-09T00:00:00Z","timestamp":1546992000000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Doege\u2013Potter syndrome with acromegaloid facial changes is extremely rare. Uncooked cornstarch along with glucocorticoids have been used as supportive care in patients with non\u2013islet cell tumor hypoglycemia (NICTH). Preoperative embolization of hepatic solitary fibrous tumors (SFT) with NICTH has yielded unsatisfactory results. Herein we present the case of a 61-year-old man with a 3-month history of severe frequent hypoglycemic episodes and acromegaloid facial changes. During a spontaneous hypoglycemia (26 mg\/dL), laboratory values showed a hypoinsulinemic pattern with low levels of GH, IGFPB3, and an IGF2\/IGF1 ratio of 8.5:1. Cross-sectional imaging revealed a large (16 \u00d7 13 \u00d7 11 cm) hepatic tumor, and cytology was consistent with SFT. A preoperative right portal embolization was performed in an effort to induce normal remnant liver hypertrophy to allow for safe tumor resection. After the procedure, uncooked starch treatment followed by prednisone was started, achieving complete remission of hypoglycemic episodes in the preoperative setting. He subsequently underwent partial hepatectomy. The histologic diagnosis was compatible with a potentially malignant SFT. The patient had an excellent outcome with complete remission of hypoglycemia, improvement of facial acromegaloid changes, and no further evidence of disease. To our knowledge, this is the first case of a patient with Doege\u2013Potter syndrome with acromegaloid facial changes induced by a potentially malignant liver SFT, treated successfully with a multimodal approach consisting of uncooked cornstarch, low-dose prednisone, preoperative embolization, and complete surgical resection. The use of cornstarch and low-dose glucocorticoids may be an adequate treatment in advance of undergoing surgery.<\/jats:p>","DOI":"10.1210\/js.2018-00281","type":"journal-article","created":{"date-parts":[[2019,1,9]],"date-time":"2019-01-09T13:18:05Z","timestamp":1547039885000},"page":"537-543","source":"Crossref","is-referenced-by-count":16,"title":["Successful Multimodal Treatment of an IGF2-Producing Solitary Fibrous Tumor With Acromegaloid Changes and Hypoglycemia"],"prefix":"10.1210","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7511-1050","authenticated-orcid":false,"given":"Ram\u00f3n G","family":"De Los Santos-Aguilar","sequence":"first","affiliation":[{"name":"Department of Endocrinology and Metabolism, Instituto Nacional de Ciencias M\u00e9dicas y Nutrici\u00f3n Salvador Zubir\u00e1n, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariana","family":"Ch\u00e1vez-Villa","sequence":"additional","affiliation":[{"name":"Department of Surgery, Instituto Nacional de Ciencias M\u00e9dicas y Nutrici\u00f3n Salvador Zubir\u00e1n, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan G","family":"Contreras","sequence":"additional","affiliation":[{"name":"Department of Surgery, Instituto Nacional de Ciencias M\u00e9dicas y Nutrici\u00f3n Salvador Zubir\u00e1n, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan S","family":"Garc\u00eda-Herrera","sequence":"additional","affiliation":[{"name":"Department of Surgery, Instituto Nacional de Ciencias M\u00e9dicas y Nutrici\u00f3n Salvador Zubir\u00e1n, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Armando","family":"Gamboa-Dom\u00ednguez","sequence":"additional","affiliation":[{"name":"Department of Pathology, Instituto Nacional de Ciencias M\u00e9dicas y Nutrici\u00f3n Salvador Zubir\u00e1n, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joel","family":"Vargas-S\u00e1nchez","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Metabolism, Instituto Nacional de Ciencias M\u00e9dicas y Nutrici\u00f3n Salvador Zubir\u00e1n, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paloma","family":"Almeda-Valdes","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Metabolism, Instituto Nacional de Ciencias M\u00e9dicas y Nutrici\u00f3n Salvador Zubir\u00e1n, Mexico City, Mexico"},{"name":"Research Unit for Metabolic Diseases, Instituto Nacional de Ciencias M\u00e9dicas y Nutrici\u00f3n Salvador Zubir\u00e1n, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfredo A","family":"Reza-Albarr\u00e1n","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Metabolism, Instituto Nacional de Ciencias M\u00e9dicas y Nutrici\u00f3n Salvador Zubir\u00e1n, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8614-7163","authenticated-orcid":false,"given":"Nicole M","family":"I\u00f1iguez-Ariza","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Metabolism, Instituto Nacional de Ciencias M\u00e9dicas y Nutrici\u00f3n Salvador Zubir\u00e1n, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"80","published-online":{"date-parts":[[2019,1,8]]},"reference":[{"issue":"2","key":"2020071700043501200_B1","doi-asserted-by":"crossref","first-page":"e148","DOI":"10.4158\/EP161317.CR","article-title":"Glucocorticoids and cornstarch therapy for non\u2013islet cell tumor hypoglycemia: a case report","volume":"3","author":"Aluri","year":"2017","journal-title":"AACE Clin Case Rep"},{"issue":"6","key":"2020071700043501200_B2","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1007\/s00534-007-1210-0","article-title":"Malignant transformation of a solitary fibrous tumor of the liver and intractable hypoglycemia","volume":"14","author":"Chan","year":"2007","journal-title":"J Hepatobiliary Pancreat Surg"},{"key":"2020071700043501200_B3","unstructured":"Jannin A , EspiardS, BenomarK, Do CaoC, MycinskiB, PorteH, D'HerbomezM, PenelN, VantyghemMC. 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