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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...

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Autores principales: Raveglia, Federico, Moneghini, Laura, Cariati, Maurizio, Baisi, Alessandro, Guttadauro, Angelo, Cioffi, Ugo, Scarci, Marco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
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.
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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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