[An unusual mediastinal mass].

Rev Mal Respir

Service de pneumologie, unité d'oncologie cervico-thoracique, hôpital Larrey, université Paul-Sabatier, CHU de Toulouse, chemin de Pouvourville, 31059 Toulouse cedex, France.

Published: September 2014

AI Article Synopsis

  • Primary mediastinal tumors are rare and can include various types, such as lymphoma and thymoma, along with less common forms.
  • A case involved a patient with a solitary mediastinal mass causing breathing difficulties, diagnosed as melanoma through a CT-guided biopsy, without any external skin lesions.
  • The case highlights the rarity of melanoma presenting solely in the mediastinum and emphasizes the importance of identifying BRAF mutations for potential treatment options.

Article Abstract

Introduction: Primary mediastinal tumors are rare diseases including a broad spectrum of pathologies ranging from the well-known, such as lymphoma, thymoma or germ-line tumors to some very unusual presentations.

Case Report: We describe a solitary mediastinal mass compressing the bronchial and vascular system in a patient suffering from chronic dyspnea. Diagnosis, obtained by means of a CT-guided biopsy, was a melanoma without any sign of a primary cutaneous lesion which harbored the BRAF V600E mutation.

Conclusions: An exclusive mediastinal presentation of a malignant melanoma is exceptional and, in the context of BRAF mutation needs to be considered and diagnosed given the potential therapeutic impact.

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Source
http://dx.doi.org/10.1016/j.rmr.2013.11.004DOI Listing

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