Recurrent malignant variant of phosphaturic mesenchymal tumor with oncogenic osteomalacia

2001 ◽  
Vol 30 (2) ◽  
pp. 99-103 ◽  
Author(s):  
A. Ogose ◽  
Tetsuo Hotta ◽  
Iwao Emura ◽  
Hiroshi Hatano ◽  
Yoshiya Inoue ◽  
...  

2013 ◽  
Vol 04 (07) ◽  
pp. 24-27
Author(s):  
Eugenio Vecchini ◽  
Tommaso Maluta ◽  
Manuel Bondi ◽  
Francesco Perusi ◽  
Stefano Dall’Oglio ◽  
...  


2019 ◽  
Vol 7 (15) ◽  
pp. 2081-2086
Author(s):  
Dong Tang ◽  
Xiao-Man Wang ◽  
Yong-Sheng Zhang ◽  
Xiao-Xiao Mi


Medicina ◽  
2020 ◽  
Vol 56 (1) ◽  
pp. 34
Author(s):  
Cornelia Then ◽  
Evelyn Asbach ◽  
Harald Bartsch ◽  
Niklas Thon ◽  
Christian Betz ◽  
...  

A possible cause of hypophosphatemia is paraneoplastic secretion of fibroblast growth factor 23 (FGF-23). Tumors secreting FGF-23 are rare, mostly of mesenchymal origin, usually benign, and may be located anywhere in the body, including hands and feet, which are often not represented in conventional imaging. A 50-year-old woman presented with diffuse musculoskeletal pain and several fractures. Secondary causes of osteoporosis were excluded. Laboratory analysis revealed hypophosphatemia and elevated alkaline phosphatase, parathyroid hormone, and FGF-23. Thus, oncogenic osteomalacia due to neoplastic FGF-23 secretion was suspected. FDG-PET-CT and DOTATATE-PET-CT imaging demonstrated no tumor. Cranial MRI revealed a tumorous mass in the left cellulae ethmoidales. The tumor was resected and histopathological examination showed a cell-rich tumor with round to ovoid nuclei, sparse cytoplasm, and sparse matrix, resembling an olfactory neuroblastoma. Immunohistochemical analysis first led to diagnosis of olfactory neuroblastoma, which was later revised to phosphaturic mesenchymal tumor. Following the resection, FGF-23 and phosphate levels normalized. In conclusion, we here describe a patient with an FGF-23-secreting phosphaturic mesenchymal tumor with an unusual morphology. Furthermore, we emphasize diagnostic pitfalls when dealing with FGF-23-induced hypophosphatemia.



2020 ◽  
Vol 27 (3) ◽  
pp. 210-214
Author(s):  
Sandra Garrote-Corral ◽  
Walter Alberto Sifuentes-Giraldo ◽  
María Eugenia Reguero-Callejas ◽  
Mónica Vázquez-Díaz


Author(s):  
Rishabh P. Acharya ◽  
Alexander M. Won ◽  
Amy C. Hessel ◽  
Mark S. Chambers ◽  
Robert F. Gagel


2006 ◽  
Vol 135 (4) ◽  
pp. 653-654 ◽  
Author(s):  
David M. Kaylie ◽  
C. Gary Jackson ◽  
Edward K. Gardner


2012 ◽  
Vol 3 (1) ◽  
pp. 151 ◽  
Author(s):  
ReginaS Bower ◽  
WilsonP Daugherty ◽  
Caterina Giannini ◽  
IanF Parney


2015 ◽  
Vol 45 (9) ◽  
pp. 1423-1426 ◽  
Author(s):  
Shannon G. Farmakis ◽  
Marilyn J. Siegel


2009 ◽  
Vol 10 (4) ◽  
pp. 329-333 ◽  
Author(s):  
Elena Pirola ◽  
Francesco Vergani ◽  
Paolo Casiraghi ◽  
Eugenio Biagio Leone ◽  
Paolo Guerra ◽  
...  

Phosphaturic mesenchymal tumors that cause the paraneoplastic syndrome known as oncogenic osteomalacia are rare. The authors report on the case of a 57-year-old man with a history of osteomalacia and in whom was diagnosed a thoracic spine tumor at the T-4 level. Complete tumor resection was accomplished. The histological diagnosis was phosphaturic mesenchymal tumor (mixed connective tissue variant). After lesion removal, the paraneoplastic syndrome resolved. At the 24-month follow-up, no recurrence of the disease was observed. The clinical presentation, surgical technique, and follow-up in this case were reviewed in detail.



1996 ◽  
Vol 84 (2) ◽  
pp. 288-292 ◽  
Author(s):  
Karoly David ◽  
Tamas Revesz ◽  
George Kratimenos ◽  
Thomas Krausz ◽  
H. Alan Crockard

✓ A 60-year-old woman suffered from hypophosphatemic osteomalacia secondary to a frontal intracranial tumor. Oral administration of phosphate and 1-α-hydroxyvitamin D3 provided only temporary symptomatic relief. A computerized tomography (CT) scan of the patient's head revealed a large subfrontal tumor attached to the dura. Following removal of the tumor, the patient's hypophosphatemia subsided; her level of 1,25-dihydroxyvitamin D3, which was undetectable preoperatively, returned to normal, and she had symptomatic improvement. Three years later, decreasing levels of phosphate and 1,25-dihydroxyvitamin D3 indicated tumor recurrence, before it was detected by CT scan. Histological examination of the tumor provided the diagnosis of “mixed connective tissue variant of phosphaturic mesenchymal tumor.” The characteristic histological features of this relatively rare entity are discussed. This is the first report of a surgically treated intracranial phosphaturic mesenchymal tumor that caused oncogenic osteomalacia.



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