Mesenteric Amyloidoma: a clinical case report
Keywords:
amyloidosis, amyloidoma, multiple myelomaAbstract
The clinical case of a 79-year-old women admitted for progressive increasing abdominal volume is described. A year prior to
admission, the patient underwent abdominal surgery to excise
an abdominal tumour. Clinical examination revealed ascites and
the patient was in anasarca. After paracentesis, an abdominal
tumour of poorly defined limits was detected. Histology of a
tissue fragment biopsied before tumour removal, showed an
amyloid substance. Although it appeared to be a localised
deposit, clinical evidence revealed a diffuse form of the disease.
Complementary studies found an associated multiple myeloma.
This case describes the diagnostic evaluation that revealed a
mesenteric amyloidoma.
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References
Falk RH, Comenzo RL, Skinner M. Medical progress: the systemic amyloidosis. N Engl J Med 1997; 337: 898-908.
Shepee N. The current state of amyloidosis. SC J Mol Med 2004; 5: 68-72.
Sipe JD, Cohen AS. Amiloidose. In Braunwald E, Fauci AS, Kasper DL, Hauser SL, Longo DL, Jameson JL. eds. Harrison: Medicina Interna. Rio de Janeiro: MacGraw-Hill Interamericana 2002: 2094-2098.
http://www.emedicine.com/med/topic3377.htm (acedido a 5 de Dezembro de 2005)
Georgiades CS, Neyman EG, Barish MA, Fishman EK. Amyloidosis: review and CT manifestations. Radiografics 2004; 24: 405-416.
Merlini G, Bellotti V. Mechanisms of disease: molecular mechanisms of amyloidosis. N Engl J Med 2003; 349: 583-596.
Bardin RL, Barnes CE, Santon CA, Geisinger KR. Soft tissue amyloidoma of the extremities: case report and review of literature. Arch Pathol Lab Med 2004; 128: 1270-1273.
Parks RW, Rourke DO, Bharucha H, Wilson BG. Perforation of the sigmoid colon secondary to localised amyloidosis. The Ulster Med J 2002; 71: 144-146.
Delbecque K, Detroz B, Leval L. Pathologic quiz case: an unusual lesion of the mesentery. Arch Pathol Lab Med 2003; 127: 47-48.
http://www.emedicine.com/med/topic2728.htm (acedido a 16 de Agosto de 2006)
Kyle RA, Rajkumar SV. Drug therapy: multiple myeloma. N Engl J Med 2004; 351: 1860-1873.
Oyaizu N, Shikata N, Tsubura A, Morii S, Taniguchi N, Miura K. Systemic amyloidosis with a mesenteric mass which had the appearance of proteinaceous lymphadenopathy. Acta Pathol Jpn 1987; 37: 133-139
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