Cystic angiomatosis, pleural effusion and multiple bone lesions mimicking a metastatic malignant neoplasia: a case report
Abstract Background We report a case of a patient with a rare clinical condition: cystic angiomatosis presenting as pleural effusion and multiple bone lesions mimicking a metastatic malignant neoplasia. With only about 50 such cases published in the literature, it is important to report the clinical...
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| Format: | Article |
| Language: | English |
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BMC
2019-08-01
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| Series: | Journal of Medical Case Reports |
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| Online Access: | http://link.springer.com/article/10.1186/s13256-019-2196-3 |
| _version_ | 1818452790304833536 |
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| author | Caroline Souza dos Anjos Rafaela Melo Campos Borges Ananda Castro Chaves William Hiromi Fuzita Carlos Augusto Moreira Silva Ubiratã Gomes Loureiro de Oliveira |
| author_facet | Caroline Souza dos Anjos Rafaela Melo Campos Borges Ananda Castro Chaves William Hiromi Fuzita Carlos Augusto Moreira Silva Ubiratã Gomes Loureiro de Oliveira |
| author_sort | Caroline Souza dos Anjos |
| collection | DOAJ |
| description | Abstract Background We report a case of a patient with a rare clinical condition: cystic angiomatosis presenting as pleural effusion and multiple bone lesions mimicking a metastatic malignant neoplasia. With only about 50 such cases published in the literature, it is important to report the clinical presentation and proposed treatment and to share information about the clinical evolution in these patients. Case presentation We report a case of a 45-year-old white man who presented to our hospital with ventilator-dependent pain. Chest tomography detected pleural effusion and multiple osteolytic bone lesions. Oncologic investigation for metastatic malignant neoplasia was started after exclusion of an infectious process. Imaging examinations revealed diffuse osteolytic lesions as well as cystic lesions of the spleen, with discrete glycolytic hypermetabolism visualized by positron emission tomography. After negative results were obtained by investigation of the primary tumor site and a bone biopsy, a final diagnosis of cystic angiomatosis was made. Conclusions In view of the fact that cystic angiomatosis is a heterogeneous disorder of unpredictable prognosis and uncertain treatment, it is necessary to disseminate new cases so that further studies may be undertaken to obtain further physiopathological findings and an effective treatment. |
| first_indexed | 2024-12-14T21:28:41Z |
| format | Article |
| id | doaj.art-ed88145d7fcc4303a40870f7e6fa84a4 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-12-14T21:28:41Z |
| publishDate | 2019-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-ed88145d7fcc4303a40870f7e6fa84a42022-12-21T22:46:44ZengBMCJournal of Medical Case Reports1752-19472019-08-011311510.1186/s13256-019-2196-3Cystic angiomatosis, pleural effusion and multiple bone lesions mimicking a metastatic malignant neoplasia: a case reportCaroline Souza dos Anjos0Rafaela Melo Campos Borges1Ananda Castro Chaves2William Hiromi Fuzita3Carlos Augusto Moreira Silva4Ubiratã Gomes Loureiro de Oliveira5Oncologic Therapy and Imaging Diagnosis Clinic - SENSUMED-OncologiaInternal Medicine, Hospital Adventista de ManausInternal Medicine, Hospital Adventista de ManausOncologic Therapy and Imaging Diagnosis Clinic - SENSUMED-OncologiaInstitute of Surgical and Molecular Pathology - IPCM BelémOncologic Therapy and Imaging Diagnosis Clinic - SENSUMED-OncologiaAbstract Background We report a case of a patient with a rare clinical condition: cystic angiomatosis presenting as pleural effusion and multiple bone lesions mimicking a metastatic malignant neoplasia. With only about 50 such cases published in the literature, it is important to report the clinical presentation and proposed treatment and to share information about the clinical evolution in these patients. Case presentation We report a case of a 45-year-old white man who presented to our hospital with ventilator-dependent pain. Chest tomography detected pleural effusion and multiple osteolytic bone lesions. Oncologic investigation for metastatic malignant neoplasia was started after exclusion of an infectious process. Imaging examinations revealed diffuse osteolytic lesions as well as cystic lesions of the spleen, with discrete glycolytic hypermetabolism visualized by positron emission tomography. After negative results were obtained by investigation of the primary tumor site and a bone biopsy, a final diagnosis of cystic angiomatosis was made. Conclusions In view of the fact that cystic angiomatosis is a heterogeneous disorder of unpredictable prognosis and uncertain treatment, it is necessary to disseminate new cases so that further studies may be undertaken to obtain further physiopathological findings and an effective treatment.http://link.springer.com/article/10.1186/s13256-019-2196-3AngiomatosisPleural effusionOsteolytic lesion |
| spellingShingle | Caroline Souza dos Anjos Rafaela Melo Campos Borges Ananda Castro Chaves William Hiromi Fuzita Carlos Augusto Moreira Silva Ubiratã Gomes Loureiro de Oliveira Cystic angiomatosis, pleural effusion and multiple bone lesions mimicking a metastatic malignant neoplasia: a case report Journal of Medical Case Reports Angiomatosis Pleural effusion Osteolytic lesion |
| title | Cystic angiomatosis, pleural effusion and multiple bone lesions mimicking a metastatic malignant neoplasia: a case report |
| title_full | Cystic angiomatosis, pleural effusion and multiple bone lesions mimicking a metastatic malignant neoplasia: a case report |
| title_fullStr | Cystic angiomatosis, pleural effusion and multiple bone lesions mimicking a metastatic malignant neoplasia: a case report |
| title_full_unstemmed | Cystic angiomatosis, pleural effusion and multiple bone lesions mimicking a metastatic malignant neoplasia: a case report |
| title_short | Cystic angiomatosis, pleural effusion and multiple bone lesions mimicking a metastatic malignant neoplasia: a case report |
| title_sort | cystic angiomatosis pleural effusion and multiple bone lesions mimicking a metastatic malignant neoplasia a case report |
| topic | Angiomatosis Pleural effusion Osteolytic lesion |
| url | http://link.springer.com/article/10.1186/s13256-019-2196-3 |
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