Thoracic amyloidomas: Two case reports of an evasive diagnosis

Author:

Cresner Rosie1,Mahmood Shameem2,Chen Jane3,Rowan Camilla4,Wechalekar Ashutosh D2

Affiliation:

1. Department of Respiratory Medicine, The Royal Free London NHS Foundation Trust Hospital, London NW3 2QG, UK

2. National Amyloidosis Centre, University College London Medical School, Royal Free Hospital Campus, London NW3 2PF, UK

3. Department of Nuclear Medicine, The Royal Free London NHS Foundation Trust Hospital, London NW3 2QG, UK

4. Department of Histopathology, The Royal Free London NHS Foundation Trust Hospital, London NW3 2QG, UK

Abstract

Lesson Amyloidosis is a rare differential diagnosis of a mass detected in the chest. Amyloidoma is caused by a local proliferation of clonal B-cells secreting an unstable immunoglobulin light chain which accumulates. FDG-PET scan are useful but not specific. Treatment is generally by local resection for treatment of symptoms. We report two cases of amyloidomas, which are rare entities characterised by large local amyloid deposits. These can occur in the upper respiratory tract, soft tissues and central nervous system. 1

Publisher

SAGE Publications

Subject

General Medicine

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