Article information
Resumo
Baseados num caso de gastropatia antral com ectasia vascular (estômago em melancia) associado a pericardite hemorrágica e a um carcinoma de pequenas células do pulmão com metástases ganglionares ao longo do mediastino e a um carcinoma pavimentocelular síncrono da base da língua, os autores fazem uma revisão dos aspectos clínicos, endoscópicos e histopatológicos deste tipo de gastropatia, da sua associação a outras doenças e das possibilidades terapêuticas actuais por via endoscópica. Referem-se igualmente as causas mais frequentes de pericardite hemorrágica, salientando-se a necessidade de esclarecer se o derrame é ou não de origem neoplásica. Não está referida na literatura a associação deste tipo de gastropatia ao carcinoma de pequenas células do pulmão nem ao carcinoma pavimento-celular da base da língua. A invasão extensa dos gânglios mediastínicos pelo carcinoma de pequenas células do pulmão é ocorrência frequente.
Rev Port Pneumol 2010; XVI (4): 659-670
Palavras-chave:
Gastropatia antral com ectasia vascular
estômago em melancia
carcinoma de pequenas células do pulmão
carcinoma pavimentocelular da base da língua
pericardite hemorrágica
Abstract
Based on a case of gastric antral vascular ectasia (watermelon stomach) that was associated with hemorrhagic pericarditis, small cell lung carcinoma with mediastinal lymph node metastases and a synchronous squamous cell carcinoma of the base of the tongue, the authors made a review of the clinical, endoscopic and histopathological aspects of this type of gastropathy, and its association with other diseases, and of the results of its endoscopic therapy. The causes of hemorrhagic pericarditis are considered, emphasizing the necessity to know if the effusion has a malignant etiology. To the best of our knowledge the association of watermelon stomach to small cell lung carcinoma and squamous cell carcinoma of the base of the tongue has not yet been described. Extensive metastases to mediastal lymph nodes are common to small cell lung carcinoma.
Rev Port Pneumol 2010; XVI (4): 659-670
Key-words:
Gastric antral vascular ectasia
watermelon stomach
small cell lung carcinoma
oat cell lung carcinoma
squamous cell carcinoma of the base of the tongue
hemorrhagic pericarditis
Full text is only aviable in PDF
Bibliography
[1.]
M. Jabbari, R. Cherry, J.O. Lough, D.S. Daly, D.G. Kinnear, C.A. Goresky.
Gastric antral vascular ectasia: the watermelon stomach.
Gastroenterol, 87 (1984), pp. 1165-1170
[2.]
M. Ikeda, H. Ishida, E. Nakamura, et al.
An endoscopy follow-up study of the development of diffuse antral vascular ectasia.
Endoscopy, 28 (1996), pp. 390-393
[3.]
Y.W. Novitsky, K.W. Kercher, D.R. Czerniach, et al.
Watermelon stomach: pathophysiology, diagnosis and management.
J Gastroint Surg, 7 (2003), pp. 652-661
[4.]
M.D. Chatterjee.
Watermelon stomach.
CMAJ, 179 (2008), pp. 162
[5.]
M. Toyota, Y. Hiroda, N. Nakogawa.
Gastric antral vascular ectasia causing severe anemia.
J Gastroenterol, 31 (1996), pp. 710-713
[6.]
C.P. Selinger, Y.S. Ang.
Gastric antral vascular ectasia (GAVE): an update on clinical presentation, pathophysiology and treatment.
Digestion, 77 (2008), pp. 131-137
[7.]
G. Bersch.
Diffuse gastric antral vascular ectasia: the “watermelon stomach” revisited (letter).
Am J Gastroenterol, 82 (1987), pp. 1333-1334
[8.]
B.E. Herman, J.J. Vargo, S. Baum, E.D. Silverman, J. Eisold.
Gastric antral vascular ectasia: a case report and review of the literature.
J Nucl Med, 37 (1996), pp. 854-856
[9.]
C.J. Gostout, T.R. Viggiano, D.A. Ahlquist, K.K. Wang, M.V. Larson, R. Balm.
The clinical and endoscopic spectrum of the watermelon stomach.
J Clin Gastroenterol, 15 (1992), pp. 256-263
[10.]
D.M. Chaves, P. Sakai, C.V. Oliveira, S. Cheng, S. Ishiaka.
Watermelon stomach: clinical aspects and treatment with argon plasma coagulation.
Arq Gastroenterol, 43 (2006), pp. 191-195
[11.]
R.H. Park, B.J. Danesh, R. Upadhyay, A.G. Howatson, F.D. Lec, R.J. Russel.
Gastric antral vascular ectasia (watermelon stomach) – therapeutic options.
Postgrad Med J, 66 (1990), pp. 720-723
[12.]
R. Weitgasser, P. Sungler, C. Hauser-Kroberger, O. Dietze, P. Sattlegger, G.W. Hacker.
Immunohistochemical assessment of an asymptomatic glucagonoma in a patient with hypergastrinemia and marked antral angiodysplasia.
Appl Immunohistochem Molecul Morphol, 9 (2001), pp. 92-96
[13.]
L. Spahr, J.P. Villeneuve, M.P. Dufresne, et al.
Gastric antral vascular ectasia in cirrhotic patients: absence of relation with portal hypertension.
GUT, 44 (1999), pp. 739-742
[14.]
B.A. Urban, B. Jones, E.K. Fisman, S.E. Kern, W.J. Ravich.
Gastric antral vascular ectasia (“the watermelon stomach”): radiologic findings.
Radiology, 178 (1991), pp. 517-518
[15.]
J.H. Gilliam 3rd., K.R. Geisinger, W.C. Wu, et al.
Endoscopic biopsy is diagnostic in gastric vascular ectasia: the “watermelon” stomach.
Dig Dis Sci, 34 (1989), pp. 885-888
[16.]
M.S. Cappel, D. Fredal.
Acute nonvariceal upper gastrointestinal bleeding: endoscopic diagnosis and therapy.
Med Clin N Am, 92 (2008), pp. 511-550
[17.]
P.F. Suit, R.E. Petras, T.W. Bauer, J.L. Petrini.
Gastric antral vascular ectasia: a histologic and morphometric study of the watermelon stomach.
Am J Surg Pathol, 11 (1987), pp. 750-775
[18.]
C. DuBouly, J. Fairbother, P.G. Isaacson.
Mucosal prolapse syndrome: a unifying concept for solitary syndrome and related disorders.
J Clin Pathol, 36 (1983), pp. 1264-1268
[19.]
N. Tuibia, A. Sanyal.
Portal hypertension and variceal hemorrhage.
Med Clin N Am, 92 (2008), pp. 551-574
[20.]
D.A. Pavey, P.I. Cray.
Endoscopic therapy for upper GI vascular ectasia.
Gastroint Endosc, 59 (2004), pp. 231-233
[21.]
I. Ng, K.C. Lai, M. Ng.
Clinical and histologic features of gastric vascular ectasia: successful treatment with endoscopic laser therapy.
J Gastroent Hepatol, 11 (1996), pp. 270-274
[22.]
V. Kwan, M.J. Bourke, S.J. Williams, et al.
Argon plasma coagulation in the management of symptomatic gastrointestinal vascular lesions: experience in 100 consecutive patients with long-term follow-up.
Am J Gastrenterol, 101 (2006), pp. 58-63
[23.]
S. Roman, J.C. Saurin, J. Dumortier, et al.
Tolerance and efficacy of argon plasma coagulation for controlling bleeding in patients with typical and atypical manifestations of watermelon stomach.
Endoscopy, 35 (2003), pp. 1024-1028
[24.]
S. Sebastian, R. Mehoughin, A. Gasim, et al.
Endoscopic argon plasma coagulation for the treatment of gastric antral vascular ectasia (watermelon stomach): longterm results.
Dig Liv Dis, 36 (2004), pp. 212-217
[25.]
J.C. Pereira-Lima, A.P. Hornos, D.L. Marques, C.V. Lopes, F.L. Waechter, C. Saul, et al.
Tratamento da ectasia vascular do antro gástrico por electrocoagulação com argônio.
GED, 21 (2002), pp. 213-217
[26.]
M. Bourke, D.L. Hope, P. Boyd, et al.
Endoscopic laser therapy for watermelon stomach.
J Gastroenterol Hepatol, 11 (1996), pp. 832-836
[27.]
C.D. Wells, M.E. Harrison, S.R. Gurudu, M.D. Crowell, T.J. Bynne, G. Depekis, et al.
Treatment of gastric antral vascular ectasia (watermelon stomach) with endoscopic band ligation.
Gastrointest Endosc, 66 (2008), pp. 231-236
[28.]
B.M. Mayosi, L.J. Burgess, A.F. Douhell.
Tuberculous pericarditis.
Circulation, 112 (2005), pp. 3608-3616
[29.]
D. Dequanter, P.H. Lothaire, T. Berghmans, J.P. Scubier.
Severe pericardial effusion in patients with concurrent malignancy: a retrospective analysis of prognostic factors influencing survival.
Ann Surg Oncol, 15 (2008), pp. 3268-3271
[30.]
D.G. Meyers, R.E. Meyers, T.W. Prendergast.
The usefullness of diagnostic tests on pericardial fluid.
Chest, 111 (1997), pp. 1213-1221
[31.]
B.D. Hoit.
Pericardial disease and pericardial tamponade.
Crit Care Med, 35 (2007), pp. S355-S364
[32.]
J.B. Stern, H.J. Sobel.
Hemorrhagic rheumatoid pericarditis.
Am J Cardiol, 8 (1961), pp. 670-673
[33.]
A. Saxena, N. Singh, S. Romakrishnan, S. Kothari.
Bacteriasl pericarditis presenting as hemorrhagic pericardial effusion in a 6-year-old girl.
Ann Pediatr Card, 1 (2008), pp. 68-69
[34.]
T. Tenenbaum, A. Heusch, B. Henrich, C.R. Mackenzie, K.G. Scmidt, H. Schroten.
Acute hemorrhagic pericarditis in a child with pneumonia due to Chlamydophila pneumonia.
J Clin Microbiol, 43 (2005), pp. 520-522
[35.]
G. Zanini, E. Antonieli, E. Vizzardi, R. Raddino, L.D. Cas.
Hemorrhagic pericarditis with cardiac tamponade due to Coxsackie virus infection.
Am J Clin Reports, 9 (2008), pp. 60-63
[36.]
D.H. Spodick.
Infectious pericarditis.
The pericardium: a comprehensive textbook, pp. 260-290
[37.]
R. Zayas, M. Anguit.
Incidence of specific etiology and role of methods for specific etiologic diagnosis of primary acute pericarditis.
Am J Cardiol, 75 (1995), pp. 378-382
[38.]
G. Permaneyer-Miralda.
Acute pericardial disease: approach to the etiologic diagnosis.
Heart, 90 (2004), pp. 252-254
[39.]
L.J. Olson, W.D. Edwards, B.A. Olney, T.A. Orsulak, M. Josa.
Hemorrhagic cardiac tamponade: a clinicopathologic correlation.
Mayo Clin Proc, 59 (1984), pp. 785-790
[40.]
J.D. Wilkes, P. Fidias, L. Vaickus, R.P. Perez.
Malignancy-related pericardial effusion: 127 cases from the Roswell Park cancer Institute.
Cancer, 76 (1995), pp. 1377-1387
[41.]
V.T. Valley, C.A. Fly.
Pericarditis and cardiac tamponade.
[42.]
D.H. Spodik.
Acute pericarditis, pericardial effusion and cardiac tamponade.
Bull Saudy Heart Association, 2 (1990), pp. 67-76
[43.]
S. Atar, J. Chiu, J.S. Forrester, R.J. Siegel.
Bloody pericardial effusion in patients with cardiac tamponade – Is the cause cancerous, tuberculous, or iatrogenic in the 1990’s?.
Chest, 116 (1999), pp. 1564-1569
[44.]
E.J. Tsolakis, C.E. Charitos, D. Mitsibounas, J.N. Nanas.
Cardiac tamponade rapidly evolving toward constrictive pericarditis and shock as first manifestation of noncardiac cancer.
J Cardiac Surg, 19 (2004), pp. 134-135
[45.]
K.W. Muir, J.C. Rodger.
Cardiac tamponade as the initial manifestation of malignancy: is it as rare as previously supposed?.
Postgraduate Med J, 70 (1994), pp. 703-707
[46.]
R.M. Fincher.
Case report: malignant pericardial effusion as the initial manifestation of malignancy.
Am J Med Sci, 305 (1993), pp. 106-110
[47.]
P.-J. Yuan, W.-K. Wong.
Cardiac tamponade as the initial presentation of thymic carcinoma – A case report.
Acta Cardiol Sin, 22 (2006), pp. 112-116
[48.]
M.M. Lewinter, S. Kabbani.
Pericardial diseases.
Braunwald’s heart disease, 7th ed,
[49.]
S. Ben-Horin, I. Bank, V. Guetta, A. Livneh.
Large symptomatic pericardial effusion as the presentation of unrecognized cancer: a study in 173 consecutive patients undergoing pericardiocentesis.
Medicine, 85 (1996), pp. 49-53
[50.]
C. Chiles, R.D. Woodard, S.P. Singh, G.Y. Lipy.
Management of pericardial effusion by drainage: a survey of 10 years experience in a city centre general hospital serving a multiracial population.
Postgraduate Med J, 76 (2000), pp. 809-813
[51.]
Edwards BK (Eds.). SEER cancer statistic reviews, 1997-2005, National Cancer Institute. Bethesda. Available at: http://seer.cancer.gov/csr/1975_2005/
[52.]
Available at: Tongue base cancer - Diagnosis and treatment options at Mayo Clinic. http://www.mayoclinic.org/tongue-base-cancer/
[53.]
G. Marioni, M. Savartano, L. Mattielo, H. Koussis, S. Carpene, F. Marina, et al.
Tongue base metastasis from neuroendocrine endometrial small cell carcinoma.
Am J Otolaryng, 28 (2007), pp. 284-287
[54.]
Available at: http://www.cancer-info-guide.com/tongue-cancer.html.
[55.]
I. Magfoor, M. Perry.
Lung cancer, oat cell (small cell).
Internet GIST Alliance, (2008),
Copyright © 2010. Sociedade Portuguesa de Pneumologia/SPP
Recommended
articles
articles
10.1016/j.pulmoe.2024.01.002
Open access
This work is licensed under a Creative Commons Attribution 4.0 International License.
Publish in
Pulmonology
Pulmonology
- Home
- All contents
- Publish your article
- About the journal
- Metrics
- Open access
Article options