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Mediastinal cavernous hemangioma in a child: report of a case
Jun Hanaoka1, Shuhei Inoue, Shozo Fujino
1Department of Thoracic Surgery, Shiga National Hospital, Gochi-cho, Youkaichi 527-8505, Japan.
Insights
A rare mediastinal cavernous hemangioma was found in a 5-year-old boy presenting with cough and fever. Surgical resection was successful, confirming this rare pediatric tumor diagnosis.
Area of Science:
- Pediatric Oncology
- Thoracic Surgery
- Vascular Malformations
Background:
- Mediastinal tumors are rare in children, requiring accurate diagnosis and surgical planning.
- Cavernous hemangiomas, a type of vascular malformation, can occur in the mediastinum, presenting diagnostic challenges.
Observation:
- A 5-year-old boy presented with cough and high fever, indicating a potential thoracic abnormality.
- Imaging revealed a large left-sided mediastinal mass compressing the pulmonary artery and lung.
- The tumor measured 105 x 60 x 60 mm and weighed 170 g.
Findings:
- Complete surgical resection of the mediastinal mass was achieved without significant hemorrhage.
- Pathological examination definitively diagnosed the tumor as a cavernous hemangioma.
Implications:
- This case highlights the importance of considering rare vascular tumors in pediatric mediastinal masses.
- Successful surgical management of large mediastinal cavernous hemangiomas is feasible.
- Further research into the etiology and optimal treatment of pediatric mediastinal hemangiomas is warranted.
Abstract:
We present herein a rare case of mediastinal cavernous hemangioma in a 5-year-old boy. The patient was referred to our hospital for an evaluation of cough and high fever. On admission, a chest computed tomogram and magnetic resonance imaging revealed a large tumor arising from the left-sided mediastinum which compressed the left main pulmonary artery and left lung. The tumor, measuring 105 x 60 x 60 mm in size and weighing 170 g, was completely resected without any major bleeding, and a pathological examination confirmed the diagnosis of cavernous hemangioma.