Case study – How a ghost tumor complicated the diagnosis in a 79 -year -old man

Retain – Case study – how ghost new

• The ghost tumor, also called ” Vanishing tumor Lung, is caused by an accumulation of liquid in the pleural space in the event of pulmonary congestion.
• On thoracic radiography, nodular shadows, sometimes multiple, are often misinterpreted as a malignant tumor or metastases.
• It is associated with chronic heart. Similarly. Furthermore. Meanwhile. In addition. Moreover. Meanwhile, renal failure and disappears by single administration of diuretics, but it can recur in the event of decompensation of the underlying disease.

Patient. However. In addition. Similarly. Furthermore, history

A 79-year-old ex-smoker. Moreover, with heart failure known following ischemic cardiomyopathy. chronic renal failure due to a renal artery stenosis. has presented In the emergency room of the Viana Do Castelo hospital in Portugal with shortness of breath, case study – how ghost new orthopnee and nightship case study – how ghost new dyspnea case case study – how ghost new study – how ghost case study – how ghost new new for case study – how ghost new 2 days.

Results

Vital parameters:

• Blood pressure 170/95 mmHg
• Pouls 110 bpm. Furthermore. SpO₂ 88 %

Clinical examination:

• Anxious patient
• Light labial cyanosis
• Moderate dyspnea
• Orthopneous
• Use of respiratory auxiliary. muscles
• Congestion of the visible jugular vein
• Bilateral basal frizzy
• Bilateral peripheral edema of the leg extending to the. middle of the calf

Thoracic x -ray:

• Nodular shadow on the right side

Treatment

The patient’s history suggested. a malignant tumor of the lung. but due to its acute symptoms of pulmonary edema, diuretic treatment with furosemide was first established. In addition. In the space of 24 hours. its symptoms have improved significantly and, with monitoring radiography, case study – how ghost new case study – how ghost new the nodular shadow had disappeared.

Discussion

The ghost tumor case study – how ghost new of the lung is rare. Similarly. but clinically case study – how ghost new important. because it can be confused with neoplasia because of its case study – how ghost new radiological presentation.

This well -defined homogeneous mass results case study – how ghost new from an accumulation case study – how. ghost new of liquid in the transverse. transversal pleural space. In 3 -quarters of cases. this phenomenon is consecutive to pulmonary congestion which occurs in a not necessarily serious context. heart or renal insufficiency, hypoalbuminemia or pleurisy. It affects elderly men more often. This atypical distribution of pleural effusion is due to adhesions. a terminal obliteration of pleural space within the framework of pleurisy.

Thus, ghost tumors appear when the pulmonary transudat goes beyond the lymphatic resorption capacity. Another mechanism would be due case study – how ghost new to elastic recall forces locally reinforced by adjacent attelectasies which. by their aspiration effect, would case study – how ghost new promote localized accumulation of liquid.

The differential diagnostics of these case study – how case study – how ghost new ghost new radiological results. are: pulmonary infarction. pneumonia, tuberculosis, attelectasis, malignant space tumor, metastasis, abscess, emphyseme, cyst case study – how ghost new and arteriovenous aneurysm. Localized pleural effusions must be distinguished from transudats linked to renal case study – how ghost new failure. parapneumonic exudates. clever. benign associated with asbestos. case study – how ghost new as well as hematothorax, chylothorax and fibrous tumors of the visceral pleura.

On the other hand. a pulmonary pseudotummer is due to leftovers of organized focal pneumonia. lymphoma precursors; Histologically, many variants of xanthome, histiocytoma, mastocytic or plasma cells are possible.

The diagnosis is difficult. the best way to achieve this is case study – how ghost new to demonstrate the disappearance of symptoms after the administration of diuretics. However. atypical pleurural effusions are also well represented on the case study – how ghost new lateral radiography of the chest, transthoracic echocardiography or pulmonary ultrasound. Thoracic CT can also be useful to define the nature case study – how ghost new of the liquid. to exclude any pathologies.

Clinicians. radiologists must take into account this case study – how ghost new unusual differential case study – how ghost. new diagnosis. be able to diagnose it quickly in order to avoid unnecessary invasive examinations as well as increased stress case. study – how ghost new for. the person concerned. Critical lighting of the compilation of the results of anamnesis. clinical case study – how ghost new examination and imaging is important.

Conservative diuretic treatment results in rapid, generally complete improvement.

This article has been translated fromUnivadis.de. The case study – how ghost new content was reviewed by the editorial staff before publication.