Oncogenic hypophosphatemic osteomalacia: From the first signal of disease to the first signal of healthy. (2017)

• Record Type: Journal Article
• Authors: Gatti, Arthur Paredes; Tonello, Luiza; Neto, João Alfredo Diedrich; Teixeira, Uirá Fernandes; Goldoni, Marcos Bertozzi; Fontes, Paulo Roberto Ott; Sampaio, José Artur; Lima, Luiz Maraninchi Pereira; Waechter, Fábio Luiz
• Is Part Of: International journal of surgery case reports. Volume 30(2017)
• Page Start: 130
• Page End: 133
• Publication Date: 2017
• Subjects: Oncogenic osteomalacia -- Cancer -- Tumor; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2016.11.037
• Languages: English
• ISSNs: 2210-2612

Abstract

Highlights: Oncogenic hypophosphatemic osteomalacia is an uncommon paraneoplastic syndrome. Neoplasia with high morbimortality if not detected early. A free margin excision is necessary to stop deformity evolution. Abstract: Introduction: The physical incapacitation of the oncogenic hypophosphatemic osteomalacia (OHO) can be catastrophic and can lead to deformities, metabolic and organic instability and death. The only positive outcome is through early diagnosis by the clinical suspicion. At this moment, medical center infrastructure is also a keypoint. Presentation of case: This case report is about a 60-year old woman with multiple fractures, gradual loss of strength and muscle mass and limiting deformities in two years of evolution until the diagnostic. Discussion: The lack of knowledge of this disease causes a delay in diagnosis that can bring deformities to the patient, as well as death. Is crucial that is hypothesized to carry out the necessary tests, since they are expensive and not always available. Conclusion: This case reinforces the importance to understand the OHO and tumoral search, once this lesion is, in most cases, imperceptible to physical examination or several imaging studies.