A case of capillary hemangioma in anterior mediastinum

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  • 子宮体癌縦隔リンパ節転移との鑑別を要した縦隔血管腫の１切除例

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Abstract

The patient was a 70-year-old female who underwent radical hysterectomy for uterine cancer in a hospital two years earlier. On preoperative examination, the patient was found to have a mass lesion in the anterior mediastinum. Postoperatively, the lesion had increased in size, and the tumor marker CA125 had increased. Therefore, she underwent systemic chemotherapy for the lesion under a diagnosis of mediastinal lymph node metastasis of uterine cancer. Although the lesion continued to increase in size after the chemotherapy, the tumor marker decreased. She was then introduced to our institute for the purpose of radiotherapy for the lesion. Radiologically, the lesion was thought to be a primary tumor in the mediastinum rather than mediastinal lymph node metastasis. The patient underwent expanded thymectomy through a median sternotomy. Pathologically, the lesion was diagnosed as a capillary hemangioma in the mediastinum. Mediastinal hemangioma is rare, and the incidence is reported to be less than 0.5% of all mediastinal tumors. Radiologically, a preoperative diagnosis of this disease is usually difficult.

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