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Extralobar pulmonary sequestration simulates posterior neurogenic tumor
Ryszard W Lupinski1, Thirugnanam Agasthian, Chong Hee Lim
1Department of Cardiothoracic Surgery, National Heart Centre, Singapore. rilup2@singnet.com.sg
The Annals of Thoracic Surgery
|June 3, 2004
Summary
A 19-year-old man had a posterior mediastinal mass initially suspected to be neurogenic. Surgery revealed it was an extralobar pulmonary sequestration, confirmed by histopathology.
Area of Science:
- Thoracic Surgery
- Diagnostic Imaging
- Pathology
Background:
- Posterior mediastinal masses can present diagnostic challenges.
- Neurogenic tumors are common in the mediastinum.
Observation:
- A 19-year-old male presented with an asymptomatic posterior mediastinal mass.
- Computed tomography suggested a neurogenic origin.
Findings:
- Video-assisted thoracic surgery identified the mass as an extralobar pulmonary sequestration.
- Surgical resection was uncomplicated.
- Histopathology confirmed the diagnosis of extralobar pulmonary sequestration.
Implications:
- This case highlights the importance of considering pulmonary sequestration in the differential diagnosis of posterior mediastinal masses.
- Minimally invasive techniques can be effective for resection.
- Accurate preoperative diagnosis is crucial for appropriate surgical planning.