Pajzsmirigy-angiosarcoma gastrointestinalis vérzést, obstrukciót okozó áttéte a vékonybé lben

Éva Benis, Anna Szilágyi, F. Izbéki, István Varga, Áron Altorjay

Research output: Article

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 languageHungarian
Pages (from-to)918-921
Number of pages4
JournalOrvosi Hetilap
Volume155
Issue number23
DOIs
Publication statusPublished - jún. 1 2014

Keywords

  • gastrointestinal bleeding
  • intestinal metastasis
  • primary thyroid angiosarcoma

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: Article

Benis, Éva ; Szilágyi, Anna ; Izbéki, F. ; Varga, István ; Altorjay, Áron. / Pajzsmirigy-angiosarcoma gastrointestinalis vérzést, obstrukciót okozó áttéte a vékonybé lben. In: Orvosi Hetilap. 2014 ; Vol. 155, No. 23. pp. 918-921.
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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.

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