md-medicaldata

Authors

 

Biljana Lazović¹, Ivana Blažić¹, JelenaKovač ², Branko Lukić¹, Rade Milić³, SanjaŠarac³, Vladimir Žugić <sup>4

1</sup>University clinical center "Zemun", Belgrade, Serbia
²Clinical center of Serbia, Radiology Clinic, Belgrade, Serbia, University of Belgrade, Serbia
³Military Medical Academy, Clinic for pulmonology, Belgrade
⁴Clinic for lung diseases, Clinical center of Serbia, Belgrade, Serbia, University of Belgrade, Serbia

 

UDK: 616.24-006-073

The paper was received / Rad primljen: 05.09.2019.

Accepted / Rad prihvaćen: 02.10.2019.

 

Correspondence to:

Biljana Lazović
University Clinical Center "Zemun", Belgrade, Serbia
Vukova 9, Zemun, 11080 Belgrade
Self-phone +381 62212040
e-mail: lazovic.biljana@gmail.com

 

 

Abstract

 

Phantom tumors (or vanishing tumors) of the lung are well known entities in cardiovascular medicine which result from localization of a pleural effusion within an interlobar fissure from exacerbated congestive heart failure. They require no special treatment beyond correction of the underlying heart condition and volume overload. Recognition of these vanishing tumors is, however, important in avoiding unnecessary and potentially harmful diagnostic tests and errors in therapy.Case report: We report a rare case of left-sided phantom tumor of the lung in 75-year-old male with an established diagnosis of congestive heart failure and chronic obstructive pulmonary disease.Conclusion: Resolving phantom tumor of left side is the same as the one on the right side. Loop diuretics are essential in this condition. However, left sided phantom tumor is not frequent, one could think about the other diagnosis. Computer tomography is sometime necessary.

 

 

 

Key words:

phantom tumor, pseudotumor, lung, heart failure, loop diuretics

 

 

 

Sažetak

 

„Fantomski“ ili „nestajući“ tumori predstavljaju neuobičajene ali dobro poznate entitete u kardiovaskularnoj medicini, koji nastaju u sklopu kongestivne srčane slabosti kao posledica nakupljanja pleuralnog izliva unutar interlobarnih fisura. Ne postoji nijedna specifična terapija, osim korekcije postojećeg srčanog stanja i opterećenja volumenom. Adekvatno postavljena sumnja na ova jentitet može sprečiti sprovođenje ekstenzivnih i skupih dijagnostičkih procedura, kao i dalje neadekvatno lečenje. Prikaz slučaja: Ovaj rad prikazuje levostrani „fantomski“ tumor, koji se retko susreće u kliničkoj praksi, kod 75-godišnjeg muškarca sa dijagnostikovanom kongestivnom srčanom insuficijencijom i hroničnom opstruktivnom bolešću pluća. Zaključak: Levostrani „fantomski“ tumori se tretiraju isto kao i desnostrani, gde ključnu ulogu imaju diuretici. Obzirom na to da levostrani „fantomski“ tumori imaju retku incidencu, lako se može doneti pogrešna dijagnoza, te je ponekad neophodna dopunska dijagnostika u vidu kompjuterizovane tomografije.

 

Ključne reči:

pseudotumor, nestajući tumor, srčanaslabost, diuretici

 

 

 

References:

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PDF Lazović B. et al. • MD-Medical Data 2019;11(3-4): 165-167