Cavernous hemangioma of the posterior mediastinum with bony invasion

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• 作者：Takamasa Yun ; Hidemi Suzuki ; Tetsuzo Tagawa…
• 关键词：Mediastinal cavernous hemangioma ; Surgical treatment ; Aggressive hemangioma
• 刊名：General Thoracic and Cardiovascular Surgery
• 出版年：2016
• 出版时间：January 2016
• 年：2016
• 卷：64
• 期：1
• 页码：43-46
• 全文大小：965 KB
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• 作者单位：Takamasa Yun (1)
  Hidemi Suzuki (1)
  Tetsuzo Tagawa (1)
  Takekazu Iwata (1)
  Teruaki Mizobuchi (1)
  Shigetoshi Yoshida (1)
  Masashi Yamazaki (2)
  Ichiro Yoshino (1)
  
  1. Department of General Thoracic Surgery, Chiba University Graduate School of Medicine, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8670, Japan
  2. Department of Orthopedics, Chiba University Graduate School of Medicine, Chiba, Japan
  
• 刊物主题：Thoracic Surgery; Cardiac Surgery; Cardiology; Surgical Oncology;
• 出版者：Springer Japan
• ISSN：1863-6713

文摘

We herein report a case of a cavernous hemangioma of the posterior mediastinum treated with surgical resection. Mediastinal hemangiomas are rare and diagnosis is difficult prior to operation. A 58-year-old female was referred to our hospital for back pain and a tumor in the left posterior mediastinum that was detected by chest computed tomography (CT). CT showed a tumor adjacent to the left side of the fifth thoracic vertebrae measuring 60 × 50 mm with invasion into and destruction of the 5th rib. The tumor was resected successfully via hemilaminectomy with costotransversectomy, and was revealed to be a cavernous hemangioma histologically. 1 year and 5 months after surgery, the patient was asymptomatic and without a recurrence. Hemangiomas are usually considered benign but sometimes behave aggressively with destruction of the neighboring structures. We consider en bloc resection to be safe and effective for aggressive cavernous hemangiomas of the posterior mediastinum.