Chronic recurrent Gorham-Stout syndrome with cutaneous involvement

Type IV osteolysis or Gorham-Stout syndrome is a rare condition characterized by recurrent vascular tumors that disrupt normal anatomical architecture. Gorham-Stout syndrome is most commonly associated with the skeletal system with resulting replacement of bone with scar tissue following tumor regre...

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Main Authors: Nahum Duker, Rebecca Simstein, Luther Brady, Jared Johnstun
Format: Article
Language:English
Published: SAGE Publishing 2010-09-01
Series:Rare Tumors
Subjects:
Online Access:http://www.pagepress.org/journals/index.php/rt/article/view/1803
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author Nahum Duker
Rebecca Simstein
Luther Brady
Jared Johnstun
author_facet Nahum Duker
Rebecca Simstein
Luther Brady
Jared Johnstun
author_sort Nahum Duker
collection DOAJ
description Type IV osteolysis or Gorham-Stout syndrome is a rare condition characterized by recurrent vascular tumors that disrupt normal anatomical architecture. Gorham-Stout syndrome is most commonly associated with the skeletal system with resulting replacement of bone with scar tissue following tumor regression. The loss of entire bones has given Gorham-Stout syndrome the moniker vanishing bone disease. Natural progression of Gorham-Stout syndrome is characterized by spontaneous disease resolution. However, rare variants of recurrent, progressive, and/or systemic disease have been reported. We present a patient with a history of recurrent Gorham-Stout disease refractory to all treatment options considered. In addition to skeletal disease, our patient had soft tissue and cutaneous involvement, thus reflecting the more aggressive disease variant. Previous surgical attempts to control disease had been ineffective and the patient was referred to us for radiation therapy. Treatment with external beam radiation therapy resulted in good local control and symptom palliation, but full disease resolution was never accomplished. In addition to presentation of this patient, a review of the literature on etiological hypotheses and past/future treatment options was conducted and is included.
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spelling doaj.art-23180d4bb538409eb5e465e7b9443feb2022-12-21T22:45:34ZengSAGE PublishingRare Tumors2036-36052036-36132010-09-0123e40e4010.4081/rt.2010.e40Chronic recurrent Gorham-Stout syndrome with cutaneous involvementNahum DukerRebecca SimsteinLuther BradyJared JohnstunType IV osteolysis or Gorham-Stout syndrome is a rare condition characterized by recurrent vascular tumors that disrupt normal anatomical architecture. Gorham-Stout syndrome is most commonly associated with the skeletal system with resulting replacement of bone with scar tissue following tumor regression. The loss of entire bones has given Gorham-Stout syndrome the moniker vanishing bone disease. Natural progression of Gorham-Stout syndrome is characterized by spontaneous disease resolution. However, rare variants of recurrent, progressive, and/or systemic disease have been reported. We present a patient with a history of recurrent Gorham-Stout disease refractory to all treatment options considered. In addition to skeletal disease, our patient had soft tissue and cutaneous involvement, thus reflecting the more aggressive disease variant. Previous surgical attempts to control disease had been ineffective and the patient was referred to us for radiation therapy. Treatment with external beam radiation therapy resulted in good local control and symptom palliation, but full disease resolution was never accomplished. In addition to presentation of this patient, a review of the literature on etiological hypotheses and past/future treatment options was conducted and is included.http://www.pagepress.org/journals/index.php/rt/article/view/1803RadiationGorham Stoutvanishing bone diseasevascularhemangiomahemangiomatous
spellingShingle Nahum Duker
Rebecca Simstein
Luther Brady
Jared Johnstun
Chronic recurrent Gorham-Stout syndrome with cutaneous involvement
Rare Tumors
Radiation
Gorham Stout
vanishing bone disease
vascular
hemangioma
hemangiomatous
title Chronic recurrent Gorham-Stout syndrome with cutaneous involvement
title_full Chronic recurrent Gorham-Stout syndrome with cutaneous involvement
title_fullStr Chronic recurrent Gorham-Stout syndrome with cutaneous involvement
title_full_unstemmed Chronic recurrent Gorham-Stout syndrome with cutaneous involvement
title_short Chronic recurrent Gorham-Stout syndrome with cutaneous involvement
title_sort chronic recurrent gorham stout syndrome with cutaneous involvement
topic Radiation
Gorham Stout
vanishing bone disease
vascular
hemangioma
hemangiomatous
url http://www.pagepress.org/journals/index.php/rt/article/view/1803
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AT rebeccasimstein chronicrecurrentgorhamstoutsyndromewithcutaneousinvolvement
AT lutherbrady chronicrecurrentgorhamstoutsyndromewithcutaneousinvolvement
AT jaredjohnstun chronicrecurrentgorhamstoutsyndromewithcutaneousinvolvement