Zhonghua yi xue za zhi · 2015
[Cavernous hemangioma of mediastinum: a report of 10 cases].
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Su Kai, Lin Meng, Lu Haizhen, Chen Shulan, Liu Xiangyang, Mu Juwei, Gao Shugeng, He Jie
Аннотация
OBJECTIVE: To explore the clinical characteristics, diagnosis, treatment and prognosis of cavernous hemangioma of mediastinum (CHM).
METHODS: Retrospective analyses were performed for the clinical data of 10 CHM patients at our hospital along with a literature review.
RESULTS: The clinical symptoms and signs were nonspecific. Although computed tomography (CT) showed mediastinal cystic mass, a definite diagnosis could not be reached. Complete surgical excision was performed with a pathological confirmation of CHM. Neither recurrence nor mortality occurred during the postoperative follow-up up to 12 years.
CONCLUSIONS: CHM is rare and frequently misdiagnosed. Hypodensity or calcification inside mass on CT is diagnostic. A definite diagnosis is dependent upon typical tumor appearances and pathological report of puncture biopsy. Excision is an effective cure with a fair prognosis.
METHODS: Retrospective analyses were performed for the clinical data of 10 CHM patients at our hospital along with a literature review.
RESULTS: The clinical symptoms and signs were nonspecific. Although computed tomography (CT) showed mediastinal cystic mass, a definite diagnosis could not be reached. Complete surgical excision was performed with a pathological confirmation of CHM. Neither recurrence nor mortality occurred during the postoperative follow-up up to 12 years.
CONCLUSIONS: CHM is rare and frequently misdiagnosed. Hypodensity or calcification inside mass on CT is diagnostic. A definite diagnosis is dependent upon typical tumor appearances and pathological report of puncture biopsy. Excision is an effective cure with a fair prognosis.