Xu Junrui, Xu Yuefeng, Zhang Renquan
Department of Thoracic Surgery, First Affiliated Hospital of Anhui Medical University, Hefei, China.
Mediastinum. 2023 May 9;7:30. doi: 10.21037/med-23-1. eCollection 2023.
Mediastinal haemangioma is a rare type of tumour and accounts for ≤0.5% of all mediastinal tumours. Mediastinal haemangioma is often nonspecific upon examination by imaging. Mediastinal haemangioma diagnosis is difficult to confirm before surgery because the characteristic features of diagnostic imaging are poor, and these lesions are extremely rarely encountered in clinical practice.
We herein report a case of thoracoscopic resection of a cavernous haemangioma in the anterior mediastinum. A 40-year-old man was referred to our hospital for a health examination. A chest computed tomography scan showed a mass with irregular contrast enhancement and a smooth surface. Using video-assisted thoracoscopic surgery, the tumour was completely extirpated and confirmed histologically to be a cavernous haemangioma. The patient recovered well, was discharged, he has since had no recurrences, and continues to be closely monitored as an outpatient.
Mediastinal haemangiomas, a rare type of mediastinal tumour, are typically benign and located in the anterior mediastinum, and lack specific symptoms and relevant imaging features. We found that minimally invasive thoracoscopic resection provided a satisfactory view and facilitated correct handling of a mediastinal cavernous haemangioma. Although such tumours are mostly benign and the prognosis is good, we recommend aggressive surgical management to avoid missing malignant lesions.
纵隔血管瘤是一种罕见的肿瘤类型，占所有纵隔肿瘤的比例≤0.5%。纵隔血管瘤在影像学检查时通常无特异性表现。纵隔血管瘤在手术前难以确诊，因为诊断性影像学的特征不明显，且这些病变在临床实践中极为罕见。
我们在此报告一例经胸腔镜切除前纵隔海绵状血管瘤的病例。一名40岁男性因健康检查转诊至我院。胸部计算机断层扫描显示一个具有不规则对比增强和表面光滑的肿块。通过电视辅助胸腔镜手术，肿瘤被完全切除，并经组织学证实为海绵状血管瘤。患者恢复良好，已出院，此后无复发，继续作为门诊患者接受密切监测。
纵隔血管瘤是一种罕见的纵隔肿瘤类型，通常为良性，位于前纵隔，缺乏特异性症状和相关影像学特征。我们发现微创胸腔镜切除术提供了满意的视野，便于正确处理纵隔海绵状血管瘤。尽管此类肿瘤大多为良性且预后良好，但我们建议积极进行手术治疗以避免漏诊恶性病变。
