Selective Venous Catheterization for the Localization of Phosphaturic Mesenchymal Tumors
2011

Using Selective Venous Catheterization to Find Tumors Causing Bone Disease

Sample size: 14 publication Evidence: moderate

Author Information

Author(s): Andreopoulou Panagiota, Dumitrescu Claudia E, Kelly Marilyn H, Brillante Beth A, Cutler Peck Carolee M, Wodajo Felasfa M, Chang Richard, Collins Michael T

Primary Institution: National Institute of Dental and Craniofacial Research, National Institutes of Health

Hypothesis

Can selective venous sampling help locate FGF-23-secreting tumors in patients with tumor-induced osteomalacia?

Conclusion

Selective venous sampling is effective in identifying FGF-23-secreting tumors, especially when imaging studies are inconclusive.

Supporting Evidence

  • Selective venous sampling helped identify tumors in patients with multiple suspicious lesions.
  • The procedure provided additional certainty before complex surgeries.
  • FGF-23 levels were measured to confirm the presence of tumors.
  • Seven out of fourteen subjects were cured after tumor resection.

Takeaway

Doctors can use a special blood test to find tumors that cause bone problems, helping them treat patients better.

Methodology

The study involved 14 subjects undergoing selective venous sampling to measure FGF-23 levels and identify tumor locations.

Limitations

The procedure was not useful in cases without suspicious lesions on imaging studies.

Participant Demographics

9 males and 5 females, aged 16 to 63 years.

Statistical Information

Confidence Interval

0.47–0.99

Digital Object Identifier (DOI)

10.1002/jbmr.316

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