Abstract
The authors present a case of a primary angiosarcoma of the thyroid gland with an intestinal metastasis. The 59-year-old female patient with tarry stool and anemia was referred to the outpatient hospital. Her past history included a thyroid "cold" nodule. Gastroscopy and colonoscopy failed to identify the origin of gastrointestinal bleeding, however, capsule endoscopy verified synchronous tumors in the small intestine. The distal tumor showed signs of bleeding and caused bowel obstruction. An urgent operation was performed and the tumorous part of the ileum was resected. Histology of the removed specimen indicated cleft-like spaces in the mucosa with CD31+ epithelial cells. Pathological report described metastatic epithelial angiosarcoma with an unknown origin. Before chemotherapy the patient underwent total thyroidectomy and histology confirmed malignancy similar to that found in the intestinal surgical specimens. This case seems particularly interesting, because bleeding from intestinal metastasis leaded to the diagnosis of the primary tumor located in the thyroid gland.
| Original language | Hungarian |
|---|---|
| Pages (from-to) | 918-921 |
| Number of pages | 4 |
| Journal | Orvosi Hetilap |
| Volume | 155 |
| Issue number | 23 |
| DOIs | |
| Publication status | Published - Jun 1 2014 |
ASJC Scopus subject areas
- Medicine(all)
Cite this
Pajzsmirigy-angiosarcoma gastrointestinalis vérzést, obstrukciót okozó áttéte a vékonybé lben. / Benis, Éva; Szilágyi, Anna; Izbéki, F.; Varga, István; Altorjay, Áron.
In: Orvosi Hetilap, Vol. 155, No. 23, 01.06.2014, p. 918-921.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Pajzsmirigy-angiosarcoma gastrointestinalis vérzést, obstrukciót okozó áttéte a vékonybé lben
AU - Benis, Éva
AU - Szilágyi, Anna
AU - Izbéki, F.
AU - Varga, István
AU - Altorjay, Áron
PY - 2014/6/1
Y1 - 2014/6/1
N2 - The authors present a case of a primary angiosarcoma of the thyroid gland with an intestinal metastasis. The 59-year-old female patient with tarry stool and anemia was referred to the outpatient hospital. Her past history included a thyroid "cold" nodule. Gastroscopy and colonoscopy failed to identify the origin of gastrointestinal bleeding, however, capsule endoscopy verified synchronous tumors in the small intestine. The distal tumor showed signs of bleeding and caused bowel obstruction. An urgent operation was performed and the tumorous part of the ileum was resected. Histology of the removed specimen indicated cleft-like spaces in the mucosa with CD31+ epithelial cells. Pathological report described metastatic epithelial angiosarcoma with an unknown origin. Before chemotherapy the patient underwent total thyroidectomy and histology confirmed malignancy similar to that found in the intestinal surgical specimens. This case seems particularly interesting, because bleeding from intestinal metastasis leaded to the diagnosis of the primary tumor located in the thyroid gland.
AB - The authors present a case of a primary angiosarcoma of the thyroid gland with an intestinal metastasis. The 59-year-old female patient with tarry stool and anemia was referred to the outpatient hospital. Her past history included a thyroid "cold" nodule. Gastroscopy and colonoscopy failed to identify the origin of gastrointestinal bleeding, however, capsule endoscopy verified synchronous tumors in the small intestine. The distal tumor showed signs of bleeding and caused bowel obstruction. An urgent operation was performed and the tumorous part of the ileum was resected. Histology of the removed specimen indicated cleft-like spaces in the mucosa with CD31+ epithelial cells. Pathological report described metastatic epithelial angiosarcoma with an unknown origin. Before chemotherapy the patient underwent total thyroidectomy and histology confirmed malignancy similar to that found in the intestinal surgical specimens. This case seems particularly interesting, because bleeding from intestinal metastasis leaded to the diagnosis of the primary tumor located in the thyroid gland.
KW - gastrointestinal bleeding
KW - intestinal metastasis
KW - primary thyroid angiosarcoma
UR - http://www.scopus.com/inward/record.url?scp=84902094540&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84902094540&partnerID=8YFLogxK
U2 - 10.1556/OH.2014.29934
DO - 10.1556/OH.2014.29934
M3 - Article
C2 - 24880971
AN - SCOPUS:84902094540
VL - 155
SP - 918
EP - 921
JO - Orvosi Hetilap
JF - Orvosi Hetilap
SN - 0030-6002
IS - 23
ER -