Systemic-to-Pulmonary Fistula in Intrapulmonary Hodgkin's Disease

Dunn, Robert P.; Wexler, Lewis

doi:10.1378/chest.66.5.590

Cited by 36 publications

(17 citation statements)

References 15 publications

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“…This may be due to a microenvironment within bone that is particularly supportive of angiogenesis. This is the first report of a symptomatic pulmonary arteriovenous fistula from a renal cell carcinoma and only the second report of a symptomatic pulmonary arteriovenous fistula resulting from any tumour [5]. The current study along with previous reports in the literature suggest that the chronicity of tumours plays a role in the development of these fistulas, which are probably due to the dilation of prior subclinical arteriovenous fistulas.…”

Section: Discussionsupporting

confidence: 69%

Pulmonary arteriovenous fistula in a patient with renal cell carcinoma

Kopetz¹,

Jiménez

et al. 2007

Eur Respir J

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Arteriovenous (AV) fistulas are common in renal cell carcinoma. These are usually small and asymptomatic. Case reports have previously described symptomatic fistulas in primary renal cell tumour or, less commonly, bone metastases.The current study describes a patient with lung metastases from renal cell carcinoma who developed a symptomatic pulmonary AV fistula. The patient presented with debilitating progressive shortness of breath, which resolved after coiling of the pulmonary AV fistula. Supporting radiographs include a unique ventilation-perfusion finding of perfusion tracer in the kidney that is diagnostic of a pulmonary shunt. This is the first report of a pulmonary fistula from renal cell carcinoma. This rare complication of renal cell carcinoma reflects its diverse clinical presentations and unique tumour biology.

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Section: Discussionsupporting

confidence: 69%

Pulmonary arteriovenous fistula in a patient with renal cell carcinoma

Kopetz¹,

Jiménez

et al. 2007

Eur Respir J

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“…There are some reports of a patient with a systemic-to-pulmonary arteriovenous fi stula associated with intrapulmonary Hodgkin's disease. [12][13][14] The physiopathology is unknown, but it is believed to be related to rapid tumor growth, which requires good blood fl ux supplied by the hypertrophied systemic circulation. Combination therapy-surgery, chemotherapy, transcatheter embolization-is performed, and good outcomes are obtained in these cases.…”

Section: Discussionmentioning

confidence: 99%

Pulmonary mucosa-associated lymphoid tissue lymphoma with a pulmonary arteriovenous fistula

Shien

Yamashita

Okazaki

et al. 2011

Gen Thorac Cardiovasc Surg

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We report an extremely rare case of pulmonary mucosa-associated lymphoid tissue (MALT) lymphoma with a pulmonary arteriovenous fistula (PAVF). A 60-year-old woman with vulvar carcinoma was admitted to our hospital for further examination of an abnormal shadow on chest computed tomography (CT). She showed hypoxemia in the arterial blood gas analysis. (18)F-Fluorodeoxyglucose positron emission tomography (FDG-PET) showed consolidations in the left lower lobe and soft-tissue density lesions in the anterior mediastinum. Each lesion showed heterogeneous FDG uptake. Although needle biopsy of these lesions was performed, a pathological diagnosis was not obtained. For the evaluation of hypoxemia, chest contrast-enhanced CT was performed, and a PAVF in the consolidation of the left lower lobe was revealed. For diagnostic and therapeutic purposes, we performed left lower lobectomy under video-assisted thoracoscopic surgery. In the surgical specimen the PAVF measured 3 cm, and histopathological examination revealed pulmonary MALT lymphoma adjacent to the PAVF.

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“…The primary affection is very unusual and the association of this STPF with Hodgkin’s disease has previously been reported in only 2 cases in the literature [1, 3]. The physiopathology is still unknown but it is believed to be related to the rapid tumoral growth which requires a great blood flux, supplied by the hypertrophied systemic circulation.…”

Section: Discussionmentioning

confidence: 99%

“…Systemic to pulmonary fistula (STPF) is a very unusual pathology in arteriovenous fistulas and its association with hematological diseases like Hodgkin’s is extremely rare [1, 2, 3, 4, 5, 6, 7, 8, 9, 10]. We present a patient with Hodgkin’s disease and STPF with a favorable outcome after combined treatment with chemotherapy, radiotherapy and therapeutic embolization, resulting in a complete resolution of the abnormal vascular communications.…”

Section: Introductionmentioning

confidence: 99%

Systemic to Pulmonary Fistulas in Hodgkin’s Disease

Sabadell

Ruiz-Manzano²,

Muchart³

et al. 2000

Respiration

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Systemic to pulmonary fistula is an unusual entity and its association with hematological diseases like Hodgkin’s is extremely rare. We present a case of a 26-year-old woman with a thoracic mass and large arteriovenous fistula. The diagnosis of Hodgkin’s disease, nodular sclerosis, was obtained by a biopsy of the supraclavicular lymph node. We achieved an excellent response after combined treatment with chemotherapy, radiotherapy and arterial embolization with complete disappearance of the mass.

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Systemic-to-Pulmonary Fistula in Intrapulmonary Hodgkin's Disease

Cited by 36 publications

References 15 publications

Pulmonary arteriovenous fistula in a patient with renal cell carcinoma

Pulmonary arteriovenous fistula in a patient with renal cell carcinoma

Pulmonary mucosa-associated lymphoid tissue lymphoma with a pulmonary arteriovenous fistula

Systemic to Pulmonary Fistulas in Hodgkin’s Disease

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