Primary mediastinal leiomyoma: a case report

Abstract

Leiomyoma of the mediastinum is rare. We report a case of a 57-year-old woman with a cervical mass diving to the intrathoracic. Chest radiography and computed tomography revealed a mass in the right superior mediastinum. The tumor was enucleated by cervicotomy. Histologically, the tumor was diagnosed as leiomyoma.

Mesenchymal tumours of the mediastinum—part II

“…To qualify as a primary mediastinal leiomyoma, tumours should arise from the somatic soft tissue of the mediastinum, whilst esophageal and large vessel primaries should be excluded. If these criteria are applied, primary mediastinal leiomyoma is very rare with approximately 20 reported cases in the literature [ 14 , 19 , 136 , 139 , 149 , 162 , 180 , 205 , 227 ]. Mediastinal leiomyoma is twice as common in females as in males and is mainly seen in the posterior mediastinum of older adults (age range 23–75 years; median age 50 years).…”

Primary Mediastinal Leiomyoma Mimicking a Giant Mediastinal Cyst: A Case Report

“…Microscopically, leiomyoma consists of monomorphic spindle cells with blunt-ended nuclei, arranged in interlacing fascicles. The specific immune marker, to SMA, is a diagnostic sign for leiomyoma (2).…”

“…Involvement of the mediastinum as the primary site of origin is extremely uncommon, with only 14 cases reported in the English literature (1,2). The most common radiographic finding of primary mediastinal leiomyoma is a well circumscribed heterogeneous solid mass.…”

Forty year old female with cough and chest pain

“…4 Í miðmaeti eru frumkomin sléttvöðvafrumuaexli afar sjaldgaef og hefur aðeins 12 slíkum tilfellum verið lýst áður í enskum vísindaritum. 5,6 Talið er að þessi miðmaetisaexli séu upprunnin frá stóru holaeðunum eða vélinda, en í þessu tilfelli var ekki ljóst hvaðan aexlið var upprunnið þar sem hvorki sáust á myndrannsóknum né í aðgerð tengsl við önnur líffaeri.…”

“…Haukur Kristjánsson 1 Jón Gunnlaugur Jónasson 2,3 Per Martin Silverborn 4 Sigríður Ólína Haraldsdóttir 5 Tómas Guðbjartsson 3,6 Forty year old female with cough and chest pain…”