tailieunhanh - Báo cáo y học: " Hypertrophic osteoarthropathy as the cause of a super scan of the bone in a patient with prostate cancer: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Hypertrophic osteoarthropathy as the cause of a super scan of the bone in a patient with prostate cancer: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Hypertrophic osteoarthropathy as the cause of a super scan of the bone in a patient with prostate cancer a case report Boris L Kanen 1 2 and Ruud JLF Loffeld1 Address Department of Internal Medicine Zaans Medical Center Zaandam The Netherlands and 2Department of Endocrinology VU University Medical Center Amsterdam The Netherlands Email Boris LJ Kanen - Ruud JLF Loffeld - Corresponding author Published 7 April 2008 Received 15 July 2007 Journal of Medical Case Reports 2008 2 104 doi 1752-1947-2-104 Accepted 7 April 2008 This article is available from http content 2 1 104 2008 Kanen and Loffeld licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract_ Introduction Prostate cancer is known to have a tendency to metastasize to bone. Skeletal scintigraphy can be used to show multiple lesions. Diffuse metastasis which is not infrequent in prostate cancer can also be suspected on the basis of a super scan . However this phenomenon in nuclear medicine has several other causes that need to be considered. Case presentation A patient with a history of prostate cancer presented with pleural fluid peripheral edema and bone pain. A super scan of the bone was found which suggested diffuse skeletal metastasis of the prostate cancer but the patient also had a prostate specific antigen level which was not compatible with this diagnosis. Further investigations revealed the paraneoplastic phenomenon of hypertrophic osteoarthropathy related to an incurable carcinoma of the lung to be the cause of the super scan. .