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[A case of mediastinal cavernous hemangioma]
S Maebeya1, O Nishimura, H Yokoi
1Thoracic and Cardiovascular Surgery, Wakayama Medical College, Japan.
[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai
|March 1, 1990
Summary
A pediatric anterior mediastinal mass, initially detected on chest X-ray, was diagnosed as a cavernous hemangioma. Surgical resection confirmed the diagnosis of this rare vascular tumor in a young patient.
Area of Science:
- Thoracic surgery
- Pediatric oncology
- Vascular tumors
Background:
- Mediastinal masses can present diagnostic challenges in pediatric patients.
- Anterior mediastinal masses require accurate pre-operative characterization for optimal surgical planning.
Observation:
- A 6-year-old boy presented with an abnormal chest X-ray showing a calcified right hilar tumor.
- CT imaging revealed an anterior mediastinal mass with lower enhancement than adjacent large vessels.
- Surgical resection via median sternotomy was performed for the 5.6 cm mass.
Findings:
- Histological examination confirmed the mass as a cavernous hemangioma.
- A 5 mm phlebolith was noted within the resected tumor specimen.
- Complete tumor resection was achieved.
Implications:
- Cavernous hemangioma is a rare but treatable cause of anterior mediastinal mass in children.
- Accurate imaging is crucial for differentiating hemangiomas from other mediastinal tumors.
- Surgical management provides a definitive treatment for symptomatic or large mediastinal hemangiomas.