We report the rare case of a 2.5 cm in size mass diagnostic for residual thymus associated with venous vascular malformation (ISSVA classification, 2008) in a 58 years old man. Diagnosis was obtained only after surgical removal that was complicated by a sudden massive bleeding (about 1,500 cc) requiring emergency conversion to median sternotomy. Difficulty in preoperative diagnosis, rarity of histologic pattern, and surgical challenges make this case very interesting for surgeons, pathologists and radiologist. Our message, dealing with mediastinal masses, is: (a) differential diagnosis between the more frequent solid antero-superior mediastinal tumors and vascular malformation should be always considered (b) preoperative angiography should always be performed in case of uncertain diagnosis (c) coil embolization should always be considered to reduce potentially fatal bleeding (d) histologic differentiation with other thymic neoplasms must be always considered.

Raveglia, F., Moneghini, L., Cariati, M., Baisi, A., Guttadauro, A., Cioffi, U., et al. (2021). Case Report: Multidisciplinary Approach for a Rare Case of Thymic Vascular Malformation. FRONTIERS IN SURGERY, 7 [10.3389/fsurg.2020.624615].

Case Report: Multidisciplinary Approach for a Rare Case of Thymic Vascular Malformation

Guttadauro A.;
2021

Abstract

We report the rare case of a 2.5 cm in size mass diagnostic for residual thymus associated with venous vascular malformation (ISSVA classification, 2008) in a 58 years old man. Diagnosis was obtained only after surgical removal that was complicated by a sudden massive bleeding (about 1,500 cc) requiring emergency conversion to median sternotomy. Difficulty in preoperative diagnosis, rarity of histologic pattern, and surgical challenges make this case very interesting for surgeons, pathologists and radiologist. Our message, dealing with mediastinal masses, is: (a) differential diagnosis between the more frequent solid antero-superior mediastinal tumors and vascular malformation should be always considered (b) preoperative angiography should always be performed in case of uncertain diagnosis (c) coil embolization should always be considered to reduce potentially fatal bleeding (d) histologic differentiation with other thymic neoplasms must be always considered.
No
Articolo in rivista - Articolo scientifico
Scientifica
case report; multidisciplinary approach; residual thymus; venous vascular malformation; vessel embolization;
English
Raveglia, F., Moneghini, L., Cariati, M., Baisi, A., Guttadauro, A., Cioffi, U., et al. (2021). Case Report: Multidisciplinary Approach for a Rare Case of Thymic Vascular Malformation. FRONTIERS IN SURGERY, 7 [10.3389/fsurg.2020.624615].
Raveglia, F; Moneghini, L; Cariati, M; Baisi, A; Guttadauro, A; Cioffi, U; Scarci, M
File in questo prodotto:
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10281/302758
Citazioni
  • Scopus 0
  • ???jsp.display-item.citation.isi??? 0
Social impact