Phantom tumour of the lung

Saraya, Takeshi; Ohkuma, Kosuke; Hirata, Aya; Nakamoto, Keitaro

doi:10.1136/bcr-2013-010457

Cited by 7 publications

(2 citation statements)

References 1 publication

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“…Sometimes diagnosis of vanishing tumour is difficult if it occurs in a previously healthy person but raised serum brainnatriuretic peptide will help to make the diagnosis of CHF and anti-cardiac failure treatment may establish the diagnosis. 8 Radiologically, loculated pleural effusions may be mistaken for tumour, consolidation or collapse but these are more convex than consolidation or collapse. 9 Diagnostic aspiration was done in our case as cardiac cause was not suspected initially.…”

Section: Discussionmentioning

confidence: 99%

Para-mediastinal Vanishing Tumour

Gowrinath¹,

Kirankumar²

2022

The Indian Journal of Chest Diseases and Allied Sciences

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In some cases of congestive heart failure (CHF), localisation of pleural fluid in the pulmonary fissures with tumour like appearance on chest radiography (termed as vanishing tumour or Phantom tumour or pseudotumour) and its resolution with diuretic treatment is well documented. But localisation of fluid in the right para-mediastinal pleural space in CHF simulating a mediastinal tumour is very rare and to the best of our knowledge has not been published before in India. We report a case of a localised right-sided para-mediastinal transudative pleural effusion in an elderly woman with left ventricular failure. Anti-cardiac failure treatment including intravenous diuretic led to rapid clinical improvement and spontaneous disappearance of para-mediastinal effusion after four days. Right paramediastinal effusion re-appeared in the same area once cardiac failure returned after anti-hypertensive treatment was discontinued for about a month. Vanishing tumour associated with cardiac failure may occur anywhere in the pleural space if there is a predisposing factor favouring its localisation and recur if the underlying cause, like CHF returns.

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Section: Discussionmentioning

confidence: 99%

Para-mediastinal Vanishing Tumour

Gowrinath¹,

Kirankumar²

2022

The Indian Journal of Chest Diseases and Allied Sciences

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“…8 The correct diagnosis is important to avoid unnecessary and potentially harmful investigation and treatment (e.g., lung biopsy and/or surgery). 9,10 Although considered a type of pleural effusion, the prognosis of phantom tumors is not in line with typical pleural effusions in COVID-19. Pleural effusions in COVID-19 are also considered uncommon; however, the presence of pleural effusion in COVID-19 may reflect a more severe state with more prominent symptoms and lower oxygen saturation.…”

Section: Introductionmentioning

confidence: 99%

Phantom Tumors in COVID-19: A Case Report

Ferdiana¹,

Putra

Lawrence

et al. 2022

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Introduction: A phantom tumor, or vanishing lung pseudotumor, is an atypical type of pleural effusion in which there is an accumulation of fluid in the pleural cavity. It is a transient and well-demarcated accumulation of pleural fluid in the interlobar pulmonary fissures and is generally associated with congestive heart failure, hypoalbuminemia, renal failure, hepatic failure, pneumonia, and tuberculosis or pleuritis. In Coronavirus disease 2019 (COVID-19), pleural effusions are also considered uncommon, and they could reflect a more severe state of the condition. The correct diagnosis is important to prevent unnecessary and potentially harmful investigation and treatment. In this study, we reported a rare case of a pleural effusion appearing as a phantom tumor in COVID-19 without congestive heart failure. Case: A 29-year-old man was presented with complaints of dry cough, sore throat accompanied by fever, and fatigue. He denied shortness of breath and loss of taste and smell. He had no smoking habit and did not have any past medical history. Physical examinations were within normal limits, except for a slight fever. The laboratory examination showed positive SARS-CoV-2 RT-PCR and an increased liver function test. His chest X-ray revealed findings suggestive of a phantom tumor accompanied by bilateral pneumonia. The patient received COVID-19 treatments. A follow-up chest X-ray revealed the complete resolution of the lesion. Conclusion: A phantom tumor is a rare case. It is not only caused by heart disease but also by other causes, one of which is COVID-19. The treatment for this condition is based on the underlying disease.

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Phantom tumour of the lung in a patient with renal failure misdiagnosed as chest infection

2014

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Phantom or vanishing tumour of the lung is a rare finding on chest radiographs that has been reported secondary to heart failure or chronic kidney disease. It has been described as an interlobular effusion of the transverse or oblique fissure of the right lung. Although it is uncommon, it should always be considered as a differential diagnosis for a radiographic opacity of the right-middle lung zone because it can be easily mistaken for a lung mass or infiltration. We herein present a case involving a patient with chronic kidney disease and a radiographic opacity of the right-middle lung that was diagnosed as a chest infection. The patient did not respond to various antibiotics and showed a poor response to diuretics, the standard treatment for phantom tumour. However, the patient markedly improved after dialysis, and the radiographic chest opacity disappeared.

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Phantom tumour of the lung

Cited by 7 publications

References 1 publication

Para-mediastinal Vanishing Tumour

Para-mediastinal Vanishing Tumour

Phantom Tumors in COVID-19: A Case Report

Phantom tumour of the lung in a patient with renal failure misdiagnosed as chest infection

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