A Case of Hypertrophic Pulmonary Osteoarthropathy with Bronchogenic Carcinoma

Masaki Fujita; Yoichi Nakanishi; Nobuaki Shigematsu

doi:10.2482/haigan.32.415

A Case of Hypertrophic Pulmonary Osteoarthropathy with Bronchogenic Carcinoma

Masaki Fujita, Yoichi Nakanishi, Nobuaki Shigematsu

Department of Respirology

Research output: Contribution to journal › Article › peer-review

Abstract

Hypertrophic pulmonary osteoarthropathy (HPO) is a cryptogenic syndrome frequently associated with lung cancer. We report an interesting case of HPO and discuss its etiology. A 49 year-old-man with adenocarcinoma of the lung complained of bilateral ankle pain and HPO was diagnosed. Though anti-cancer chemotherapy and irradiation of the primary site reduced the size of the tumor, his ankle pain remained. Immediately after additional mediastinal irradiation was performed, his ankle pain markedly improved. Considering prostaglandin, hormone and CEA data measured before and after treatment as well as the clinical course, we speculate that mediastinal involvement of lung cancer might be a contributing factor in HPO.

Original language	English
Pages (from-to)	415-419
Number of pages	5
Journal	Haigan
Volume	32
Issue number	3
DOIs	https://doi.org/10.2482/haigan.32.415
Publication status	Published - Jan 1992

All Science Journal Classification (ASJC) codes

Oncology
Pulmonary and Respiratory Medicine

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10.2482/haigan.32.415

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abstract = "Hypertrophic pulmonary osteoarthropathy (HPO) is a cryptogenic syndrome frequently associated with lung cancer. We report an interesting case of HPO and discuss its etiology. A 49 year-old-man with adenocarcinoma of the lung complained of bilateral ankle pain and HPO was diagnosed. Though anti-cancer chemotherapy and irradiation of the primary site reduced the size of the tumor, his ankle pain remained. Immediately after additional mediastinal irradiation was performed, his ankle pain markedly improved. Considering prostaglandin, hormone and CEA data measured before and after treatment as well as the clinical course, we speculate that mediastinal involvement of lung cancer might be a contributing factor in HPO.",

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AB - Hypertrophic pulmonary osteoarthropathy (HPO) is a cryptogenic syndrome frequently associated with lung cancer. We report an interesting case of HPO and discuss its etiology. A 49 year-old-man with adenocarcinoma of the lung complained of bilateral ankle pain and HPO was diagnosed. Though anti-cancer chemotherapy and irradiation of the primary site reduced the size of the tumor, his ankle pain remained. Immediately after additional mediastinal irradiation was performed, his ankle pain markedly improved. Considering prostaglandin, hormone and CEA data measured before and after treatment as well as the clinical course, we speculate that mediastinal involvement of lung cancer might be a contributing factor in HPO.

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A Case of Hypertrophic Pulmonary Osteoarthropathy with Bronchogenic Carcinoma

Abstract

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