Mediastinal cavernous hemangioma

Lim, Kun-Eng; Hsio, Jonk-Kai; Hsu, Yuan-Yu; Yue, Chung‐Tai; Chang, Hsu-Chao; Huan, Chun-Yao

doi:10.1016/j.tcmj.2013.01.009

Cited by 2 publications

(5 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Ring-like calcification with central lucency (phleboliths) is reported as the characteristic imaging finding, which is derived from organized thrombi within vascular spaces, but phleboliths are present in up to 10% of cases. In this case, phleboliths or calcifications were not observed, similar to cases described by Lim et al (2).…”

Section: Discussionsupporting

confidence: 89%

“…Selection of a correct surgical approach is essential to achieve radicality and safety of the procedure. In the case of large, especially bilateral tumors, or tumors closely adhered to surrounding large vessels, phrenic nerve, thoracic duct, pericardium, etc., the correct surgi- cal approach should be obtained by thoracotomy or sternotomy (2,3,7,10,12). However, the VATS is justified in the case of small, limited vascular lesions in the mediastinum as found in the present case.…”

Section: Discussionmentioning

confidence: 74%

“…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).…”

Section: Discussionmentioning

confidence: 91%

“…On contrast-enhanced CT scans, the patterns of enhancement are nonspecific, closely related to the blood flow and the degree of thrombosed vascular channels. The tumors are known to enhance heterogeneously and centrally (2). Classical peripheral enhancement and puddling of contrast (commonly in hepatic hemangioma) have also been reported (13).…”

Section: Discussionmentioning

confidence: 99%

“…However, rare cases of cavernous hemangioma in the CPA have been reported. Although the CT imaging features of mediastinal cavernous hemangioma are often described as an enhancing mass or associated with calcified phleboliths (2), there are rare cases with non-enhancement after the enhanced CT was reported. Surgical intervention is often performed for the purpose of diagnosis and treatment of mediastinal cavernous hemangioma.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

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

Kang

et al. 2019

Iran Red Crescent Med J

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 74%

Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

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

Kang

et al. 2019

Iran Red Crescent Med J

View full text Add to dashboard Cite

show abstract

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

Mardani

Kamran

Geramizadeh

et al. 2023

J Cardiothorac Surg

View full text Add to dashboard Cite

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.

show abstract

Mediastinal cavernous hemangioma

Cited by 2 publications

References 12 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

Contact Info

Product

Resources

About