Abstract
Gorham’s disease is a rare disorder characterized by a non-malignant proliferation of thin-walled lymphatic vessels that result in progressive bony destruction and often extend into the surrounding soft tissues. Chylothorax is a common complication in cases of mediastinal involvement. Here we report a case of a 22-year-old male with Gorham’s syndrome complicated by chyloma of the chest wall, but without chylothorax. To our knowledge, this is the first report demonstrating an abnormality of the parietal pleura prior to the clinical development of the chylothorax.
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References
Jackson JBS. A singular case of absorption of bone (a boneless arm). Boston Med Surg J 1838; 18: 368–9.
Riantawan P, Tansupasawasdikul S, Subhannachart P. Bilateral chylothorax complicating massive osteolysis (Gorham’s syndrome). Thorax 1996; 51: 1277–8. Wilkinson IB, Kinnear WJM. Commentary. Thorax 1996; 51: 1279.
Gorham LW, Stout AP. Massive osteolysis (acute spontaneous absorption of bone, phantom bone, disappearing bone); its relation to hemangiomatosis. J Bone Joint Surg Am 1955; 37: 985–1004.
Yoo SY, Goo JM, Im JG. Mediastinal lymphangioma and chylothorax: Thoracic involvement of Gorham’s disease. Korean J Radiol 2002; 3: 130–2.
Fujiu K, Kanno R, Suzuki H, Nakamura N, Gotoh M. Chylothorax associated with massive osteolysis (Gorham’s syndrome). Ann Thorac Surg 2002; 73: 1956–7.
Hejgaard N, Olsen PR. Massive Gorham osteolysis of the right hemipelvis complicated by chylothorax: Report of a case in a 9-year-old boy successfully treated by pleurodesis. J Pediatr Orthop 1987; 7: 96–9.
Tie ML, Poland GA, Rosenow EC 3rd. Chylothorax in Gorham’s syndrome. A common complication of a rare disease. Chest 1994; 105: 208–13.
Dunbar SF, Rosenberg A, Mankin H, Rosenthal D, Suit HD. Gorham’s massive osteolysis: The role of radiation therapy and a review of the literature. Int J Radiat Oncol Biol Phys 1993; 26: 491–7.
Hagberg H, Lamberg K, Astrom G. Alpha-2b interferon and oral clodronate for Gorham’s disease. Lancet 1997; 350: 1822–3.
Campbell J, Almond HG, Johnson R. Massive osteolysis of the humerus with spontaneous recovery. J Bone Joint Surg Br 1975; 57: 238–40.
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Kitami, A., Suzuki, T., Suzuki, S. et al. Gorham’s disease complicated by chyloma of the chest wall. Jpn J Thorac Caridovasc Surg 54, 311–313 (2006). https://doi.org/10.1007/PL00022261
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DOI: https://doi.org/10.1007/PL00022261