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Case Report: Multidisciplinary Approach for a Rare Case of Thymic Vascular Malformation
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) requi...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7835703/ https://www.ncbi.nlm.nih.gov/pubmed/33511152 http://dx.doi.org/10.3389/fsurg.2020.624615 |
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author | Raveglia, Federico Moneghini, Laura Cariati, Maurizio Baisi, Alessandro Guttadauro, Angelo Cioffi, Ugo Scarci, Marco |
author_facet | Raveglia, Federico Moneghini, Laura Cariati, Maurizio Baisi, Alessandro Guttadauro, Angelo Cioffi, Ugo Scarci, Marco |
author_sort | Raveglia, Federico |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-7835703 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-78357032021-01-27 Case Report: Multidisciplinary Approach for a Rare Case of Thymic Vascular Malformation Raveglia, Federico Moneghini, Laura Cariati, Maurizio Baisi, Alessandro Guttadauro, Angelo Cioffi, Ugo Scarci, Marco Front Surg Surgery 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. Frontiers Media S.A. 2021-01-12 /pmc/articles/PMC7835703/ /pubmed/33511152 http://dx.doi.org/10.3389/fsurg.2020.624615 Text en Copyright © 2021 Raveglia, Moneghini, Cariati, Baisi, Guttadauro, Cioffi and Scarci. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Surgery Raveglia, Federico Moneghini, Laura Cariati, Maurizio Baisi, Alessandro Guttadauro, Angelo Cioffi, Ugo Scarci, Marco Case Report: Multidisciplinary Approach for a Rare Case of Thymic Vascular Malformation |
title | Case Report: Multidisciplinary Approach for a Rare Case of Thymic Vascular Malformation |
title_full | Case Report: Multidisciplinary Approach for a Rare Case of Thymic Vascular Malformation |
title_fullStr | Case Report: Multidisciplinary Approach for a Rare Case of Thymic Vascular Malformation |
title_full_unstemmed | Case Report: Multidisciplinary Approach for a Rare Case of Thymic Vascular Malformation |
title_short | Case Report: Multidisciplinary Approach for a Rare Case of Thymic Vascular Malformation |
title_sort | case report: multidisciplinary approach for a rare case of thymic vascular malformation |
topic | Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7835703/ https://www.ncbi.nlm.nih.gov/pubmed/33511152 http://dx.doi.org/10.3389/fsurg.2020.624615 |
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