Doege-Potter Syndrome: A Rare Paraneoplastic Syndrome of Solid Fibrous Tumors Reported in Indonesia

Jahja Teguh Widjaja (Institute of Pulmonary Medicine, St. Luke's Medical Center, Quezon City, Philippines.)
Peter Syarief (Department of Thoracic and Vascular Surgery, Immanuel Hospital, Bandung, Indonesia.)
Evelyn Nathania (Immanuel Hospital, Bandung, Indonesia.)
Ayunda Prameswari (Immanuel Hospital, Bandung, Indonesia.)
Yumilia Hoo (Department of Internal Medicine, Immanuel Hospital, Bandung, Indonesia.)

Jurnal Respirasi (JR)
Vol. 9 No. 1 (2023): January 2023

Introduction: Solitary fibrous tumors (SFT) is a rare group of tumor. Even rarer, it is associated with Doege-Potter syndrome (DPS), which manifests as hypoglycemia due to paraneoplastic syndrome. From searching through national reports and articles, this was the first case of DPS in Indonesia. Case: A 60-year-old woman was admitted to the emergency department with dyspnea and unconscious. The patient's glucose level showed 21mg/dL. A solid mass on the patient's right lung was shown on the chest X-ray. A previous biopsy concluded that the patient had a solid fibrous tumor with a history of profound hypoglycemia. The patient underwent tumor resection and got a biopsy of the tumor. After resection, the patient showed no sign of hypoglycemia, and the blood glucose level was stable. We concluded that the patient had DPS, a paraneoplastic syndrome associated with the solid fibrous tumor. Conclusion: Performing an adequate examination and giving prompt treatments can increase the patient's quality of life, even though it is a rare disease and hard to diagnose. The patient's condition, evaluated from a clinical condition, chest X-ray, and blood glucose, was better than before getting radical resection.