Dumbbell-Mimicked Mediastinal Angiomatosis.

Ann Thorac Surg

Department of Pathology and Laboratory Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.

Published: December 2016

Angiomatosis is a nonneoplastic proliferative vascular lesion, which occurs mostly in diverse soft tissues. We observed a rare case of mediastinal angiomatosis with intraspinal invasion that mimicked a dumbbell tumor in a 63-year-old man with a history of prostate adenocarcinoma. A roentgenogram of the chest showed that the patient had left pleural effusion and a left paraspinal mass, computed tomography disclosed a low-density fusiform lesion over the left paraspinal region, and magnetic resonance imaging confirmed a large posterior mediastinal tumor with T4 intraspinal invasion. The tumor was completely excised through a laminectomy of the T3-5 spine, followed by thoracoscopic removal of the mediastinal part. The definitive diagnosis was angiomatosis. Surgical removal of such a dumbbell-mimicked tumor is mandatory because it may progress to spinal cord compression.

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http://dx.doi.org/10.1016/j.athoracsur.2016.05.051DOI Listing

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Dumbbell-Mimicked Mediastinal Angiomatosis.

Ann Thorac Surg

December 2016

Department of Pathology and Laboratory Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.

Angiomatosis is a nonneoplastic proliferative vascular lesion, which occurs mostly in diverse soft tissues. We observed a rare case of mediastinal angiomatosis with intraspinal invasion that mimicked a dumbbell tumor in a 63-year-old man with a history of prostate adenocarcinoma. A roentgenogram of the chest showed that the patient had left pleural effusion and a left paraspinal mass, computed tomography disclosed a low-density fusiform lesion over the left paraspinal region, and magnetic resonance imaging confirmed a large posterior mediastinal tumor with T4 intraspinal invasion.

View Article and Find Full Text PDF

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