Thymic Cavernous Hemangioma With a Left Innominate Vein Aneurysm

Nakada, Takeo; Akiba, Tadashi; Morikawa, Toshiaki; Ohki, Takao

doi:10.1016/j.athoracsur.2014.08.057

Cited by 8 publications

(20 citation statements)

References 7 publications

(15 reference statements)

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“…This abnormality can occur throughout the whole body, though size and site of origin vary. Some reports have noted its occurrence in patients with a venous aneurysm [ 3 , 4 ]. Such a vascular anomaly is considered to be the result of local abnormal morphogenesis of normal vascular endothelial cells occurring before birth [ 2 ], which then increases in size and exists for the lifetime of the individual without atrophy.…”

Section: Case Presentationmentioning

confidence: 99%

“…Since it was previously thought to be a tumor, a mediastinal CH is considered to be rare, accounting for 0.5 % or less of all mediastinal tumors [ 6 ]. Furthermore, there are only seven reports of cases with a proven thymic origin [ 3 , 4 , 7 – 9 ].…”

Section: Case Presentationmentioning

confidence: 99%

“…Cohen et al reported that subtotal excision should be chosen if complete resection carries serious risk because there was no rapid growth noted in a case of incomplete resection and re-resection can be considered at the time of recurrence [ 6 ]. Extirpation by means of a median sternotomy or thoracotomy will be needed in cases with a giant mass [ 9 ] or innominate vein aneurism [ 3 , 4 ]. On the other hand, thymic partial resection using VATS is a better option for small and non-infiltrative lesions, such as seen in the present case.…”

Section: Case Presentationmentioning

confidence: 99%

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Cavernous hemangioma in the thymus: a case report

et al. 2016

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Cavernous hemangioma is not a neoplasm, but rather a congenital venous malformation with the potential to develop in all parts of the body, though it is very rarely seen in the thymus. We report a case of cavernous hemangioma in the thymus partially resected. A 71-year-old woman presented with pericardial discomfort, and chest computed tomography (CT) showed a left lateral mediastinal mass which was 2.0 × 1.2 × 1.8 cm in size, with border regularity and without calcification. Its interior was partially enhanced. Three-dimensional chest computed tomography image showed a tortuous vessel connecting to the tumor. Surgical resection was performed for the purpose of providing a definitive diagnosis and treatment because a mediastinal tumor such as thymoma or teratoma was suspected. Partial resection of the thymus including the mass was done by utilizing a three-port, left-sided video-assisted thoracic surgery (VATS) approach with hoisting of the third rib with the patient in a spinal position. A wine-colored mass bulging from the surface of the left lobe of the thymus was identified along with the communicating vessel which could only be cut with an energy device. It is considered that thymic partial resection using VATS is a better option for small and non-infiltrative lesions.

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Section: Case Presentationmentioning

confidence: 99%

Section: Case Presentationmentioning

confidence: 99%

Section: Case Presentationmentioning

confidence: 99%

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Cavernous hemangioma in the thymus: a case report

et al. 2016

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“…A correct diagnosis of a cavernous hemangioma can be made using several CT features, such as multiple venous lakes, calcified phleboliths, complex multiple venous channels, distant feeding veins, and delayed enhancement. [ 9 ] Calcified phlebolith is the characteristic manifestation of cavernous hemangioma of the thymus. However, calcified phlebolith is observed in only 10% of the cases.…”

Section: Discussionmentioning

confidence: 99%

“…However, calcified phlebolith is observed in only 10% of the cases. [ 9 ] Biopsies may not be suitable for definitive diagnosis due to bleeding. [ 9 ] Therefore, surgical resection should be performed for a definitive diagnosis and treatment.…”

Section: Discussionmentioning

confidence: 99%

Cavernous hemangioma of the thymus

Zheng

Zhang

et al. 2018

Medicine

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Rationale:Cavernous hemangioma is a congenital venous malformation with the potential to develop in all tissues of the body. However, cavernous hemangioma of the thymus is extremely rare.Patient concerns:The present study describes the case of an asymptomatic, 30-year-old female who presented with a cavernous hemangioma in the thymus during a physical examination. Enhanced computed tomography of the chest revealed a 2.3 × 1.7 × 1.3 cm mass in the thymus.Diagnoses:Histopathological examination revealed that the tumor exhibited the typical histological findings of a cavernous hemangioma.Interventions:The patient underwent surgical resection due to the uncertain diagnosis and the possibility that the mass was a thymoma or teratoma.Outcomes:One-year post surgery, the patient was alive with no evidence of tumor recurrence.Lessons:Cavernous hemangioma of the thymus is a very rare disease. Complete surgical resection may be a critical therapeutic option.

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