Epicardial carvernous hemangioma: The diagnostic challenge of a middle mediastinal mass,Thoracic Cancer

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Epicardial carvernous hemangioma: The diagnostic challenge of a middle mediastinal mass
Thoracic Cancer ( IF 2.3 ) Pub Date : 2021-07-20 , DOI: 10.1111/1759-7714.14074
Gabrielle Drevet ₁ , Lara Chalabreysse ₂ , Delphine Gamondes ₃ , François Tronc ₁ , Jean-Michel Maury ₁

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Primary tumors in the middle mediastinum are rare and pose diagnostic challenges. Lymphomas, mediastinal cysts and thymomas most frequently affect this anatomic area. Primary cardiac tumors are rare and constitute a differential diagnosis for the inferior middle mediastinum. Surgical exploration and resection is often mandatory in order to make a definitive diagnosis. Here, we report the case of a 69 year-old women who presented with persistent dyspnea. A complete preoperative workup revealed a large tissular mass adjacent to the right atrium. A diagnosis of a typical epicardial cavernous hemangioma was made following surgical resection.

中文翻译：

心外膜海绵状血管瘤：中纵隔肿块的诊断挑战

中纵隔的原发性肿瘤很少见，对诊断提出了挑战。淋巴瘤、纵隔囊肿和胸腺瘤最常影响该解剖区域。原发性心脏肿瘤很少见，构成下中纵隔的鉴别诊断。为了做出明确的诊断，通常必须进行手术探查和切除。在这里，我们报告了一名 69 岁女性出现持续性呼吸困难的病例。完整的术前检查显示右心房附近有一个大的组织肿块。手术切除后诊断为典型的心外膜海绵状血管瘤。

更新日期：2021-09-02

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