Dr. Gregory M. Cote: A 52-year-old man with a metastatic solitary fibrous tumor was admitted to this hospital because of recurrent episodes of hypoglycemia. The patient had been in his usual state of health until approximately 1.5 years before the current admission, when dysuria and pain in the lower abdomen and left leg developed after a motor vehicle accident. At another hospital, magnetic resonance imaging (MRI) reportedly revealed an incidental 14-cm necrotic mass in the pelvis, anterior to the bladder. Biopsy of the mass was reportedly diagnostic of a solitary fibrous tumor.
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