Primary posterior mediastinal angiolipoma: a case report

被引:3
作者
Nakamura, Daisuke [1 ]
Kobayashi, Nobutaka [1 ]
Miyazawa, Masahisa [1 ]
Satomi, Hidetoshi [2 ]
Ihara, Nobumaro [3 ]
Tsunoda, Mayu [3 ]
机构
[1] Japanese Red Cross Soc Nagano Hosp, Dept Thorac Surg, 5-22-1 Wakasato, Nagano, Japan
[2] Japanese Red Cross Soc Nagano Hosp, Dept Pathol, 5-22-1 Wakasato, Nagano, Japan
[3] Japanese Red Cross Soc Nagano Hosp, Dept Radiol, 5-22-1 Wakasato, Nagano, Japan
关键词
angiolipoma; embolization; mediastinum; video-assisted thoracic surgery;
D O I
10.1093/jscr/rjab168
中图分类号
R61 [外科手术学];
学科分类号
摘要
An angiolipoma is a benign tumor, and a primary mediastinal angiolipoma is extremely rare. Herein, we describe the presentation and management of a posterior mediastinal angiolipoma in a woman with loss of consciousness. Chest computed tomography (CT) revealed a contrast-enhancing mass in the right posterior mediastinum, with intercostal arterial blood supply identified on three-dimensional reconstruction CT (3D-CT). Magnetic resonance imaging revealed a fatty component. Pre-operative embolization of the supplying intercostal artery was performed to reduce intraoperative bleeding. Mass resection was performed using video-assisted thoracic surgery. Histopathology confirmed angiolipoma diagnosis. Although rare, a posterior mediastinum angiolipoma should be considered a possibility; 3D-CT and pre-operative embolization may be useful in the surgical treatment of hypervascular mediastinal tumors, such as angiolipomas.
引用
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页数:3
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