Hereditary hemorrhagic telangiectasia mimicking metastasis in a patient with gastric carcinoma

Wie Ming Tiao, Ming Ting Wu*, Huay Ben Pan

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Hereditary hemorrhagic telangiectasia (HHT) is associated with arteriovenous malformation in multiple organs. The association of HHT with primary malignancy has rarely been reported. We describe the case of a 68-year-old man with gastric carcinoma who presented with abdominal fullness and cramping pain. Radiographic examination showed multiple pulmonary nodules and an osteolytic cervical spine lesion. The initial diagnosis of gastric cancer with multiple metastases was revised after meticulous imaging studies revealed these lesions to be vascular malformations in the lungs and vertebra. This case demonstrates that HHT may coexist with a primary malignancy and mimic multiple metastases.

Original languageEnglish
Pages (from-to)722-725
Number of pages4
JournalJournal of the Formosan Medical Association
Volume101
Issue number10
StatePublished - Oct 2002

Keywords

  • Computerized tomography
  • Gastric carcinoma
  • Hereditary hemorrhagic telangiectasia
  • MRI
  • Metastasis

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