Medicine · 2018
Nodular hyperplasia presenting as a mediastinal mass: Three case reports.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Kim Do Hun, Kim Dong Wook, Shin Gi Won, Lee Yoo Jin, Cho Young Jun, Park Ha Kyoung, Ha Tae Kwun, Park Ji Sun, Jung Soo Jin, Ahn Ki Jung, Moon Sung Ho
Аннотация
RATIONALE: Based on imaging and biopsy results, surgical removal of mediastinal nodular hyperplasia (MNH) may be unnecessary, and mediastomy may be avoidable.
PATIENT CONCERNS: We report three cases of nodular hyperplasia presenting as a mediastinal mass on imaging studies during a health check-up or for the evaluation of known abscess in the right masticator and submandibular spaces.
INTERVENTIONS: In the first two cases, surgical excision was performed, and in the third case, US-guided core needle biopsy was performed.
DIAGNOSES: Histopathological examination revealed MNH in the first two cases, and histologic examination suggested MNH.
OUTCOMES: In the first two cases, there were no associated complications after successful surgical removal. In the third case, surgery was not performed because of old age and no associated symptoms.
LESSONS: MNH may mimic mediastinal tumors on imaging studies. Accordingly, awareness of imaging features, interval changes, associated symptoms, and biopsy results may be necessary for the appropriate management of MNH.
PATIENT CONCERNS: We report three cases of nodular hyperplasia presenting as a mediastinal mass on imaging studies during a health check-up or for the evaluation of known abscess in the right masticator and submandibular spaces.
INTERVENTIONS: In the first two cases, surgical excision was performed, and in the third case, US-guided core needle biopsy was performed.
DIAGNOSES: Histopathological examination revealed MNH in the first two cases, and histologic examination suggested MNH.
OUTCOMES: In the first two cases, there were no associated complications after successful surgical removal. In the third case, surgery was not performed because of old age and no associated symptoms.
LESSONS: MNH may mimic mediastinal tumors on imaging studies. Accordingly, awareness of imaging features, interval changes, associated symptoms, and biopsy results may be necessary for the appropriate management of MNH.