Preoperative Embolization of a Posterior Mediastinal Lipid-Poor Angiolipoma Mimicking a Paravertebral Nerve Sheath Tumor

Gorospe, Luis; García-Poza, Javier; González-Gordaliza, María Cristina; Cabañero-Sánchez, Alberto; Muñoz-Molina, Gemma María; Saldaña-Garrido, David

doi:10.1016/j.athoracsur.2014.09.076

Cited by 7 publications

(2 citation statements)

References 6 publications

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“…After his initial report, Ja-Young Choi in 2000 also reported a case of posterior mediastinal angiolipoma extending into spinal canal and showing both fat and angiomatous features on CT scan [4]. Luis Gorospe in 2015 described a lipid-poor angiolipoma within the posterior mediastinum in a patient with chest pain [5]. Occurrence of infiltrating angiolipomas of mediastinum is extremely rare.…”

Section: Discussionmentioning

confidence: 99%

A giant infiltrating angiolipoma of the mediastinum: a case report

Liu

Che

et al. 2016

J Cardiothorac Surg

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BackgroundAngiolipoma is a rare benign neoplasm composed of mature fatty tissue and multiple small abnormal blood vessels. Infiltrating mediastinal angiolipoma is an extremely rare tumor associated with delayed diagnosis.Case presentationA 42-year-old woman was presented with 3-month history of mild chest tightness. Imaging of the chest showed a large mass with fat densities in the middle superior mediastinum. A presumptive diagnosis was a tumor of liposarcoma. The patient was scheduled for a thoracotomy. After the excision, the symptoms were relieved and histological study revealed that the tumor was an angiolipoma. The patient recovered very well and was discharged 7 days after the surgery. After 7 months of follow-up the patient was clinically well and asymptomatic.ConclusionsWe described a giant infiltrating mediastinal angiolipoma and its removal, and discussed the tumor characteristics and prognosis. Although extremely rare, infiltrating angiolipoma should be considered in the differential diagnosis of mediastinum lesions. The prognosis after surgical management of our patient is favorable.

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Section: Discussionmentioning

confidence: 99%

A giant infiltrating angiolipoma of the mediastinum: a case report

Liu

Che

et al. 2016

J Cardiothorac Surg

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“…7,8 Preoperative embolization may also be considered to reduce intraoperative bleeding. 9 Kim and colleagues 10 present a case report of a posterior mediastinal mass, assumed to be a schwannoma, which was approached by thoracotomy but was noted to be arising from the spine. The procedure was aborted because of extensive bleeding, and biopsy showed this tumor to be a chordoma.…”

Section: Editorial Commentarymentioning

confidence: 99%

A posterior mediastinal mass is not always what it seems

Abbas

2016

The Journal of Thoracic and Cardiovascular Surgery

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Central Message: A posterior mediastinal chordoma is a malignant tumor, which may be 29 mistaken for schwannoma. This tumor usually requires a combined anterior and posterior 30 approach for complete resection.74 1. Lin JC, Hazelrigg SR, Landreneau RJ. Video-assisted thoracic surgery for diseases within the 75 mediastinum. Surg Clin North Am. 2000;80(5):1511-1533. doi: S0039-6109(05)70242-5 [pii]. 76 2. Hougan O, Zihai D, Ouyang Z. Vascular components of the posterior mediastinum: 77 Applications for video-assisted thoracoscopic surgery. [doi].79 3. Weissenbacher A, Bodner J. Robotic surgery of the mediastinum.

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