Cavernous Hemangioma Concurrently Involving the Anterior and Middle Mediastinum and the Lung Parenchyma: A Case Report

Kim, Jee Hye; Lee, Soo Jung; Kim, Sung Jin; Cho, Bum Sang

doi:10.3348/jksr.2017.76.4.273

Cited by 2 publications

(4 citation statements)

References 10 publications

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“…The present case was a soft tissue mass with a regular margin arising from the right CPA of the anterior mediastinum, measuring 5.2 cm at the largest size. The clinical symptoms of mediastinal hemangiomas are usually nonspecific, including a cough, dyspnea, chest pain, hoarse- ness, difficulty in swallowing, etc., mainly due to the pressure exerted by the tumor on adjacent organs; however, about 50% of patients are asymptomatic (4,5,11). Our patient presented intermittent cough, dull aching chest pain, and sporadic palpitation for three weeks.…”

Section: Discussionmentioning

confidence: 69%

“…Reviewing the previously reported cases in the literature, complete surgical resection as performed in this case is the primary treatment of choice for mediastinal cavernous hemangiomas in which, we should consider the protection of nearby large vessels, major airways, and other vital structures to prevent serious complications, primarily bleeding (2,3,8,12). However, partial resection is proposed as the best treatment protocol if extensive mediastinal resection may be associated with high morbidity and mortality, and the residual tumors generally do not grow (1,5). Selection of a correct surgical approach is essential to achieve radicality and safety of the procedure.…”

Section: Discussionmentioning

confidence: 90%

“…Although mediastinal hemangiomas usually manifest as nonspecific soft tissue masses, they have also been reported with cystic changes. To date, they have been reported in only six cases (5). Clinically, approximately 75% of the patients are diagnosed before the age of 35 years, with no gender preponderance; moreover, rare cases of mediastinal cavernous hemangiomas have been reported in fetuses and children (6,7).…”

Section: Discussionmentioning

confidence: 99%

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Mediastinal Cavernous Hemangioma Presenting as a Cardiophrenic Angle Mass: A Case Report and Literature Review

Kang

et al. 2019

Iran Red Crescent Med J

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Introduction: Mediastinal hemangiomas are uncommon benign vascular tumors. They are histologically classified into capillary, cavernous, and venous types, according to the size of their vascular spaces. Phleboliths, multiple enhanced vessels, and peripheral puddling of contrast enhancement are the typical diagnostic features on computed tomography (CT). The cardiophrenic angle (CPA) area is a particular area of mediastinum and diseases in this region are rare but various. This paper describes a case of cavernous hemangioma located in the right CPA, lacking the typical CT imaging findings, that was definitively diagnosed after surgery. Case Presentation: On March 20, 2017, a 38-year-old woman referred to Da-Ping hospital, which is a level III military hospital affiliated to the Army Medical University, Chongqing, China. She had a three-week history of intermittent cough, dull aching chest pain, and occasional palpitation. Her general physical examination and other routine lab tests and tumor markers were reported within the normal ranges. One day later, the chest plain CT showed a well-defined and non-invasive mass with soft-tissue density interspersed with a fatty ingredient in the right CPA with contrast agent. The tumor demonstrated non-enhancement neither in the arterial phase nor in the venous phase, and no apparent feeding vessels to the tumor were identified. It was initially suspected to be a benign ectopic thymoma. On March 27, 2017, the tumor was completely resected by video-assisted thoracoscopic surgery (VATS). Post-operative histological findings confirmed the diagnosis of cavernous hemangioma. The patient was in good condition at a five-month follow-up. Conclusions: Mediastinal cavernous hemangioma should be considered as an important differential diagnosis of mediastinal masses even though it is rare. Chest CT is useful in providing valuable information on the origin and invasiveness of the tumor, evaluating the relationship between tumors and intrathoracic vessels, and mapping the blood supply of tumors to select more suitable operative intervention.

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Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

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Mediastinal Cavernous Hemangioma Presenting as a Cardiophrenic Angle Mass: A Case Report and Literature Review

Kang

et al. 2019

Iran Red Crescent Med J

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“…A rare cause of mediastinal mass is CHM, which usually involves the anterior mediastinum [2,5]. However, there have been reports of posterior [8,9], middle [3,4] and even concurrent anterior and middle [10] mediastinum involvements. We further investigated all reports regarding CHM among the major databases of PubMed, Scopus, Web of Science, and Google Scholar, based on related Mesh terms ("Cavernous Hemangioma", and "Mediastinal" or similar phrases) till before October 2022.…”

Section: Discussionmentioning

confidence: 99%

Cavernous mediastinal hemangioma presenting with persistent cough: a rare case report and review of literature

Mardani

Kamran

Geramizadeh

et al. 2023

J Cardiothorac Surg

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Background Cavernous hemangioma is a rare benign tumor which can sometimes mimic the clinical presentation and radiological findings of malignant tumors. Here we present a rare presentation of cavernous hemangioma in the mediastinum (CHM), along with a literature review among the main databases. Case presentation We present a 48-year-old male who had suffered from persistent cough as the sole symptom of an anterior CHM. Computed tomography scan demonstrated a 12.5 × 10.8 cm mass in the anterior mediastinum. The mass was surgically resected, and histopathological evaluation established the diagnosis of CHM. The patient was discharged in good condition, in which during his four-month follow-up period, no recurrence of the tumor has been observed. Conclusion Although cavernous hemangioma rarely present in the mediastinum, it should be considered in the differential diagnosis of mediastinal tumors. However, our review of literature demonstrated a female dominance and average age of 40 years, with a 52% mortality rate based on previous reports.

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Cavernous Hemangioma Concurrently Involving the Anterior and Middle Mediastinum and the Lung Parenchyma: A Case Report

Cited by 2 publications

References 10 publications

Mediastinal Cavernous Hemangioma Presenting as a Cardiophrenic Angle Mass: A Case Report and Literature Review

Mediastinal Cavernous Hemangioma Presenting as a Cardiophrenic Angle Mass: A Case Report and Literature Review

Cavernous mediastinal hemangioma presenting with persistent cough: a rare case report and review of literature

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