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Shamji FM, Beauchamp G, Maziak DE, Cooper J. Paraneoplastic Syndromes in Lung Cancers: Manifestations of Ectopic Endocrinological Syndromes and Neurologic Syndromes. Thorac Surg Clin 2021; 31:519-537. [PMID: 34696864 DOI: 10.1016/j.thorsurg.2021.06.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Paraneoplastic syndromes are clinical entities associated with cancers and often overlap with metabolic and endocrine syndromes. The cell types of lung cancer involved are frequently small cell, squamous cell, adenocarcinoma, large cell, and carcinoid tumor. A number of neurologic paraneoplastic syndromes have been described for which the tumor product remains unknown. These include peripheral neuropathies, a myasthenia-like syndrome, and subacute cerebellar degeneration. Although all of these syndromes may improve with successful treatment of the primary tumor, complete resolution is rare.
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Affiliation(s)
- Farid M Shamji
- University of Ottawa, General Campus, Ottawa Hospital, 501 Smyth Road, Ottawa, Ontario K1H 8L6, Canada.
| | - Gilles Beauchamp
- Thoracic Surgery Unit, Department of Surgery, Maisonneuve-Rosemount Hospital, University of Montreal, 5415 L'Assomption Boulevard, Montreal, Quebec H1T 2M4, Canada
| | - Donna E Maziak
- Surgical Oncology, Division of Thoracic Surgery, Ottawa Hospital - General Division, University of Ottawa, 501 Smyth Road, 6NW-6364, Ottawa, Ontario K1H 8L6, Canada
| | - Joel Cooper
- Hospital of the University of Pennsylvania, Ravdin 6, 3400 Spruce Street, Philadelphia, PA 19104, USA
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Johns AC, Sorenson C, Rogers A, Agne JL, D'Souza DM, Das JK, Issa M, Perna G, Williams TM, Meara A, Kitchin T, Haglund KE, Owen DH. Clinical Course of Hypertrophic Pulmonary Osteoarthropathy in a Patient Receiving Immune Checkpoint Inhibitor Therapy. Clin Lung Cancer 2020; 21:e243-e245. [PMID: 32067849 DOI: 10.1016/j.cllc.2020.01.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2019] [Revised: 12/20/2019] [Accepted: 01/20/2020] [Indexed: 10/25/2022]
Affiliation(s)
- Andrew C Johns
- Department of Internal Medicine, The Ohio State University Wexner Medical Center, Columbus, OH.
| | - Chad Sorenson
- Department of Radiology, The Ohio State University Wexner Medical Center, Columbus, OH
| | - Alan Rogers
- Department of Radiology, The Ohio State University Wexner Medical Center, Columbus, OH
| | - Julia L Agne
- Division of Palliative Medicine, Department of Internal Medicine, The Ohio State University Wexner Medical Center, Columbus, OH
| | - Desmond M D'Souza
- Division of Thoracic Surgery, Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH
| | - Jishu K Das
- Division of Medical Oncology, Department of Internal Medicine, The Ohio State University Wexner Medical Center, Columbus, OH
| | - Majd Issa
- Division of Medical Oncology, Department of Internal Medicine, The Ohio State University Wexner Medical Center, Columbus, OH
| | - Gina Perna
- Division of Medical Oncology, Department of Internal Medicine, The Ohio State University Wexner Medical Center, Columbus, OH
| | - Terence M Williams
- Department of Radiation Oncology, The Ohio State University Wexner Medical Center, Columbus, OH
| | - Alexa Meara
- Division of Rheumatology, Department of Internal Medicine, The Ohio State University Wexner Medical Center, Columbus, OH
| | - Trevor Kitchin
- Division of Sports Medicine, Department of Family Medicine, The Ohio State University Wexner Medical Center, Columbus, OH
| | - Karl E Haglund
- Department of Radiation Oncology, The Ohio State University Wexner Medical Center, Columbus, OH
| | - Dwight H Owen
- Division of Medical Oncology, Department of Internal Medicine, The Ohio State University Wexner Medical Center, Columbus, OH
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Hirst CS, Waldron T. Hypertrophic osteoarthropathy in an adult macaque. Int J Paleopathol 2019; 25:39-45. [PMID: 31035224 DOI: 10.1016/j.ijpp.2019.04.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/20/2017] [Revised: 04/12/2019] [Accepted: 04/14/2019] [Indexed: 06/09/2023]
Abstract
OBJECTIVE To evaluate through differential diagnosis whether hypertrophic osteoarthropathy was present on an adult macaque skeleton. MATERIALS Skeletal remains of a well-preserved adult macaque (Macaca) of unknown species curated by the archaeology department at University College London. METHODS Macroscopic and radiographic evaluation of pathological lesions. RESULTS Widespread bilateral and symmetrical periosteal new bone growth primarily affecting the limbs was observed. CONCLUSION A careful differential diagnosis of the lesions and comparison with previously published cases of hypertrophic osteoarthropathy among humans and non-humans suggests this animal displays a case of Hypertrophic osteoarthropathy. SIGNIFICANCE Only been three reported cases of HOA in non-human primates have been reported, and all were apes. This study serves as the first reported case of HOA among non-hominoid simians, providing a detailed description of the skeletal lesions to aid future with paleopathological analyses. LIMITATIONS Small sample sizes for comparison and lack of context for this specimen limits discussion of the scope of this disease among non-human primates. SUGGESTIONS FOR FURTHER RESEARCH Re-evaluate skeletal collections which have not been subject to recent osteological and pathological analysis.
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Affiliation(s)
- Cara S Hirst
- Institute of Archaeology, University College London, 31-34 Gordon Square, London, WC1H 0PY, United Kingdom.
| | - Tony Waldron
- Institute of Archaeology, University College London, 31-34 Gordon Square, London, WC1H 0PY, United Kingdom
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Okudan B, Coşkun N, Arıcan P, Şefizade R, Naldöken S. A Case of Hypertrophic Pulmonary Osteoarthropathy in Both Upper and Lower Extremities: A Rare Involvement. Mol Imaging Radionucl Ther 2018; 27:88-90. [PMID: 29889032 PMCID: PMC5996602 DOI: 10.4274/mirt.78941] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
Hypertrophic pulmonary osteoarthropathy (HPOA) is a paraneoplastic manifestation of gastric and, more frequently, lung carcinomas. It is characterized by extremity pain, clubbing, arthritis and periostitis of the long bones. Periostitis is the hallmark of HPOA and can be revealed with bone scintigraphy. Whole-body bone scintigraphy (WBBS) is very sensitive during the active lesion period and WBBS findings usually precede that of plain radiography. WBBS can also show improvement in the first 6 months following treatment, thus making it an important technique in the management and follow-up of these patients. While HPOA findings are usually seen in the lower extremities, involvement of both upper and lower extremities is a rare condition. In this case report, it is aimed to present findings of a 67-year-old male patient with lung cancer and complaint of extremity pain. We report on this patient to draw attention to HPOA of both upper and lower extremities.
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Affiliation(s)
- Berna Okudan
- Ankara Numune Training and Research Hospital, Clinic of Nuclear Medicine, Ankara, Turkey
| | - Nazım Coşkun
- Ankara Numune Training and Research Hospital, Clinic of Nuclear Medicine, Ankara, Turkey
| | - Pelin Arıcan
- Ankara Numune Training and Research Hospital, Clinic of Nuclear Medicine, Ankara, Turkey
| | - Rıza Şefizade
- Ankara Numune Training and Research Hospital, Clinic of Nuclear Medicine, Ankara, Turkey
| | - Seniha Naldöken
- Ankara Numune Training and Research Hospital, Clinic of Nuclear Medicine, Ankara, Turkey
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Flohr S, Jasch I, Langer A, Riesenberg M, Hahn J, Wisotzki A, Kierdorf H, Kierdorf U, Wahl J. Secondary hypertrophic osteoarthropathy in a male from the Early Medieval settlement of Lauchheim, Germany. Int J Paleopathol 2018; 20:72-79. [PMID: 29496219 DOI: 10.1016/j.ijpp.2017.10.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/25/2017] [Revised: 10/23/2017] [Accepted: 10/27/2017] [Indexed: 06/08/2023]
Abstract
Hypertrophic osteoarthropathy (HOA) is rarely diagnosed in archaeological human skeletons. Here, we report on the well-preserved skeleton of a middle-adult man from the early Medieval settlement site of Lauchheim (Germany) that exhibits pronounced multi-layered shell-like periosteal new bone formation in a bilaterally symmetric fashion on the long bones, the skeletal elements of the pelvis and those of the pectoral girdle. In addition, the two distal phalanges recovered show signs of osteoclastic resorption on their distal tuberosities. The distribution and morphology of the observed lesions are consistent with a diagnosis of HOA. The adult age at death of the individual and the co-occurrence of "healed" and "active" lesions suggest a secondary form of HOA. Given that only skeletal remains were available for study, the underlying (pulmonary or non-pulmonary) primary disease cannot be definitively ascertained in the present case. No osseous changes were found on the ribs, but signs of osteoclastic resorption were observed on the dorsal surface of the sternal body, which might indicate a retrosternal or mediastinal location of the primary disease. Thus far, only a few archaeological case studies of secondary HOA reported signs of the presumed underlying primary disease, which was of a pulmonary nature in each of the individuals.
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Affiliation(s)
- Stefan Flohr
- University of Hildesheim, Department of Biology, Universitätsplatz 1, 31141, Hildesheim, Germany.
| | - Isabelle Jasch
- Eberhard Karls University Tübingen, Institute of Prehistory, Early History and Medieval Studies, Schloss Hohentübingen, Burgsteige 11, 72070, Tübingen, Germany
| | - Antje Langer
- Eberhard Karls University Tübingen, Institute of Prehistory, Early History and Medieval Studies, Schloss Hohentübingen, Burgsteige 11, 72070, Tübingen, Germany
| | - Martin Riesenberg
- Free University of Berlin, Institute of Prehistoric Archaeology, Fabeckstraße 23-25, 14195, Berlin, Germany
| | - Julia Hahn
- Eberhard Karls University Tübingen, Institute of Prehistory, Early History and Medieval Studies, Schloss Hohentübingen, Burgsteige 11, 72070, Tübingen, Germany
| | - Axel Wisotzki
- St Bernward's Hospital, Radiological Department, Treibestraße 9, 31134 Hildesheim, Germany
| | - Horst Kierdorf
- University of Hildesheim, Department of Biology, Universitätsplatz 1, 31141, Hildesheim, Germany
| | - Uwe Kierdorf
- University of Hildesheim, Department of Biology, Universitätsplatz 1, 31141, Hildesheim, Germany
| | - Joachim Wahl
- Landesamt für Denkmalpflege im Regierungspräsidium Stuttgart, Stromeyersdorfstraße 3, 78467, Konstanz, Germany; Eberhard Karls University Tübingen, Institute for Archaeological Science, Rümelinstraße 23, 72070, Tübingen, Germany
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Bacha S, Habibech S, Attia M, Chabbou A. [Unusual association of two paraneoplastic syndromes in lung adenocarcinoma: Acquired ichtyosis and hypertrophic pulmonary osteoarthropathy]. Rev Pneumol Clin 2017; 73:213-215. [PMID: 28756889 DOI: 10.1016/j.pneumo.2017.05.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/08/2017] [Accepted: 05/31/2017] [Indexed: 06/07/2023]
Affiliation(s)
- S Bacha
- Service de Pneumologie 2, hôpital Abderrahmane-Mami de Pneumo-phtisiologie, université de Tunis El-Manar, faculté de médecine de Tunis, rue de l'Hôpital, 2080 Ariana, Tunisie.
| | - S Habibech
- Service de Pneumologie 2, hôpital Abderrahmane-Mami de Pneumo-phtisiologie, université de Tunis El-Manar, faculté de médecine de Tunis, rue de l'Hôpital, 2080 Ariana, Tunisie
| | - M Attia
- Service de radiologie, hôpital Abderrahmane Mami de pneumo-phtisiologie,université de Tunis El Manar, faculté de médecine de Tunis, rue de l'Hôpital, 2080 Ariana, Tunisie
| | - A Chabbou
- Service de Pneumologie 2, hôpital Abderrahmane-Mami de Pneumo-phtisiologie, université de Tunis El-Manar, faculté de médecine de Tunis, rue de l'Hôpital, 2080 Ariana, Tunisie
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Royston E, Katato K, Mesko D. Hypertrophic Pulmonary Osteoarthropathy: A Case Report. World J Oncol 2012; 3:236-238. [PMID: 29147313 PMCID: PMC5649903 DOI: 10.4021/wjon550w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/26/2012] [Indexed: 11/03/2022] Open
Abstract
A 42-year-old male presented to the emergency department with difficulty breathing and body pain particularly in his bilateral lower extremities. A workup was done and he was diagnosed with sarcomatoid carcinoma of the lung. Bone scintigraphy was performed and hypertrophic pulmonary osteoarthropathy was diagnosed to be the source of the pain.
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Affiliation(s)
- Eric Royston
- Genesys Regional Medical Center,One Genesys Parkway,Grand Blanc, MI 48439, USA
| | - Khalil Katato
- Genesee Hematology Oncology, 302 Kensington Ave, Flint, MI 48503, USA
| | - Dan Mesko
- Genesys Regional Medical Center,One Genesys Parkway,Grand Blanc, MI 48439, USA
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Cruz C, Rocha M, Andrade D, Guimarães F, Silva V, Souza S, Moura C, Moura C. Hypertrophic pulmonary osteoarthropathy with positive antinuclear antibodies: case report. Case Rep Oncol 2012; 5:308-12. [PMID: 22740821 PMCID: PMC3383253 DOI: 10.1159/000339571] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
A male Afro-descendant patient, 57 years old, complaining of polyarticular involvement and weight loss for 18 months, with a load of 13.5 pack years of smoking. On physical examination there was pain on palpation of the right knee and right leg, with signs of inflammation on the knee. We also observed digital clubbing in all fingers. Antinuclear antibodies (ANA) and anti-Sm antibodies were positive. X-rays of the legs and arm showed cortical thickening of long bones. The computed tomography demonstrated a large mass located in the middle lobe of the right lung. The anatomopathological study revealed a bronchial adenocarcinoma. The history of polyarticular involvement associated with positive anti-Sm and ANA antibodies could lead to an erroneous diagnosis of systemic lupus erythematosus. Considering the bad consequences of delayed diagnosis in this patient, the medical team should be alerted for suspecting and look for a lung cancer under these circumstances.
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Affiliation(s)
- C. Cruz
- Hospital Santo Antonio, Obras Sociais Irmã Dulce, Salvador, Brazil
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