Phantom tumor of the lung in heart failure patient

Argan, Onur; Ural, Dilek

doi:10.1016/j.tjem.2017.03.003

Cited by 4 publications

(5 citation statements)

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“…In several patient's chest X rays revealed intermittent appearance of the similar tumor-like shadows in the same region of the right lobe during an acute exacerbation of congestive heart failure confirming that phantom tumors can recur during episodes of cardiac decompensation (Figure D) (6,7,8).…”

Section: Discussionmentioning

confidence: 77%

Phantom tumor of the lung in patient with pneumonia

Mulić

Lazović

Detanac

et al. 2019

Sanamed

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Introduction: Localized interlobar effusions in congestive heart failure (phantom or vanishing lung tumor/s) are infrequent, but widely recognized entities.Case report: A 80-years-old woman affected by progressive dyspnea over the previous three months, with productive cough. She was treated hypertension and had a pace maker implanted due to bradycardia. Chest X ray has shown right side pneumonia with high positive inflammatory markers. After resolution of pneumonia, phantom tumor of the lung was revealed, which disappear with intensive loop diuretics.Conclusions: The diagnosis of the phantom tumor ought to be pondered as a possibility in any patient with congestive heart failure and lung mass. The patient at hand featured no prior history of congestive heart failure, hence indicating that phantom tumor may occur in non-chronic heart failure patients. Albeid the reliable diagnosis of the phantom tumor through the utilization of imaging modalities in patients without congestive heart failure can be rather challenging, such possibility must be considered in a patient with a lung mass in the major fissure of the lungs. Due to accelerated expansion of the geriatric population and subsequent spread of the congestive heart failure, a rise in the incidence of vanishing tumors of the lung may be anticipated.

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Section: Discussionmentioning

confidence: 77%

Phantom tumor of the lung in patient with pneumonia

Mulić

Lazović

Detanac

et al. 2019

Sanamed

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“…The vanishing or phantom tumour is a well-recognized entity in a patient with fluid overload, although the incidence is rare. 3,4 Various literature suggests that the pathogenesis of this atypical fluid distribution is caused by pre-existing pleuritis, which in turn obliterates the pleural space around the edge of the fissure. Circulatory overload leads to fluid transudation due to an increase in hydrostatic pressure of the pulmonary vasculature.…”

Section: Discussionmentioning

confidence: 99%

“…Its existence might cause a diagnostic error resulting in unnecessary invasive diagnostic investigation for the patient. 3 Hence, it is important to be aware of the existence of such a form of pleural effusion when a patient with congestive heart failure presents with a pulmonary mass on a chest radiograph.…”

Section: Introductionmentioning

confidence: 99%

“…1,2 The tumour appearance on a chest radiograph is actually caused by localised transudative interlobar pleural fluid collection in a patient with congestive heart failure. 3 Incidence is rare in that it only comes from a small number of reported cases in literature, but it is a well-known finding in heart failure patients. Its existence might cause a diagnostic error resulting in unnecessary invasive diagnostic investigation for the patient.…”

Section: Introductionmentioning

confidence: 99%

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Lung mass in patient with congestive heart failure – Now you see it, now you don’t !

Yeh

Ahmad

Alaga

2022

Proceedings of Singapore Healthcare

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Phantom tumour, vanishing tumour, and pseudotumour of the lung are terms used to describe the tumour appearance on a chest radiograph of a decompensated heart failure patient, which typically disappears after appropriate treatment of their underlying condition. It is a loculated pleural effusion in the fissures that gives rise to the tumour appearance on the chest radiograph of a patient with heart failure. Its existence might mislead the diagnosis, resulting in unnecessary invasive diagnostic investigations done on the patient. We present a case of a 64 year-old male with multiple co-morbidities presenting with dyspnea, loss of weight, and loss of appetite. A chest radiograph showed homogenous opacity over the right lower zone with cardiomegaly, raising the suspicion of a lung mass apart from heart failure. It disappeared after appropriate diuretic treatment. The computed tomography (CT) thorax, which was planned by the primary team, subsequently showed no lung mass. Hence, a high index of suspicion of phantom tumour is important when a lung mass is noted on a chest radiograph of a patient clinically presented with heart failure. This is because exposure to ionising radiation from CT is completely avoidable with just appropriate treatment of fluid overload. However, CT is still the best modality for assisting physicians in a doubtful case.

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“…Phantom tumour (or vanishing tumour) is a loculated transudative pleural effusion in the pulmonary fissure in the patient with volume overload, most commonly seen in congestive heart failure 1. Other conditions include renal failure, cirrhosis and hypoalbuminaemia.…”

Section: Descriptionmentioning

confidence: 99%