Login Register Cart 0
Generic placeholder image

Current Medical Imaging

Editor-in-Chief

ISSN (Print): 1573-4056
ISSN (Online): 1875-6603

Back
Journal Home About Journal Editorial Board Journal Insight Current Issue Volumes/Issues
Subscribe
Case Report

Diagnostic Challenge and Management of Thymic Cavernous Hemangioma: A Case Report and Review of the Literature

Author(s): Li Liu, Fangbiao Zhang, Zhijun Wu, Shaosong Tu and Yan Li*

Volume 19, Issue 12, 2023

Published on: 02 February, 2023

Article ID: e090123212448 Pages: 5

DOI: 10.2174/1573405619666230109121128

Price: $65

Abstract

Objective: Thymic cavernous hemangioma (CH) as a benign lesion is extremely rare, and it is very difficult to distinguish it from other anterior mediastinal tumors on imaging.

Case Presentation: We treated a 63-year-old woman with thymic CH that was incidentally found by chest computed tomography (CT). Contrast-enhanced chest CT described an anterior superior mediastinal mass, approximately 2.5cm in diameter, with centripetal enhancement and an increased range of enhancement in the delayed period. The tumor and thymus were completely resected by video-assisted thoracic surgery (VATS) to provide a definitive diagnosis and precise treatment. Postoperative pathology suggested that the tumor was a thymus cavernous hemangioma.

Conclusion: We reported an extremely uncommon case of CH in the thymus and reviewed the previously published literature. CH can occur at any age and body tissue, and there is no significant difference between males and females. Most patients are asymptomatic, often found by chest CT. Enhanced chest CT suggested that an increased area of venous enhancement at a prolonged duration may be a feature of CH. Complete surgical resection is a safe and effective method for CH in the thymus.

Graphical Abstract

[1]
Yoshino N, Okada D, Ujiie H, et al. Venous hemangioma of the posterior mediastinum. Ann Thorac Cardiovasc Surg 2012; 18(3): 247-50.
[http://dx.doi.org/10.5761/atcs.cr.11.01706] [PMID: 22790999]
[2]
Lungenschmid D, Schöpf R, Dietze O, Furtschegger A. Computerized tomography diagnosis of cavernous thymus hemangioma and differentiation from other mediastinal hemangiomas. Rontgenblatter 1990; 43(7): 301-4.
[PMID: 2392648]
[3]
Shen C, Liang Y, Xu H, Liu L, Che G. Cavernous hemangioma of thymus misdiagnosed as thymoma: A case report. World J Surg Oncol 2014; 12(1): 323.
[http://dx.doi.org/10.1186/1477-7819-12-323] [PMID: 25344424]
[4]
Papagiannopoulos K, Sheppard MN, Goldstraw P. Thymic hemangioma presenting with recurrent pleural effusion. Ann Thorac Surg 2000; 70(1): 297-9.
[http://dx.doi.org/10.1016/S0003-4975(00)01273-X] [PMID: 10921733]
[5]
Yamazaki A, Miyamoto H, Saito Y, Matsuzawa H, Sakao Y, Anami Y. Cavernous hemangioma of the anterior mediastinum: Case report and 50-year review of Japanese cases. Gen Thorac Cardiovasc Surg 2006; 54(5): 221-4.
[http://dx.doi.org/10.1007/BF03396514] [PMID: 16764313]
[6]
Romeo GP, Fiedler PN, Hecht CS, Nuñez D. Thrombosed cavernous hemangioma arising in cervical ectopic thymus tissue: A case report. Conn Med 2012; 76(7): 401-4.
[PMID: 23248863]
[7]
Roldán-Baños S, García-Barajas S, León-Medina D. Cavernous hemangioma of the thymus. Arch Bronconeumol 2012; 48(8): 303.
[PMID: 22579119]
[8]
Akiba T, Morikawa T, Hirayama S, Ohki T. Thymic haemangioma presenting with a left innominate vein aneurysm: Insight into the aetiology. Interact Cardiovasc Thorac Surg 2012; 15(5): 925-7.
[http://dx.doi.org/10.1093/icvts/ivs340] [PMID: 22859512]
[9]
Nakada T, Akiba T, Inagaki T, Morikawa T, Ohki T. Thymic cavernous hemangioma with a left innominate vein aneurysm. Ann Thorac Surg 2015; 100(1): 320-2.
[http://dx.doi.org/10.1016/j.athoracsur.2014.08.057] [PMID: 26140781]
[10]
Ose N, Kobori Y, Takeuchi Y, Susaki Y, Taniguchi S, Maeda H. Cavernous hemangioma in the thymus: A case report. Surg Case Rep 2016; 2(1): 10.
[http://dx.doi.org/10.1186/s40792-016-0137-6] [PMID: 26943686]
[11]
Zheng C, Zhang F, Tu S, Zhang X, Zhao C. Cavernous hemangioma of the thymus: A case report and review of the literature. Medicine 2018; 97(30): e11698.
[http://dx.doi.org/10.1097/MD.0000000000011698] [PMID: 30045327]
[12]
Ardeshiri A, Ardeshiri A, Beiras-Fernandez A, Steinlein OK, Winkler PA. Multiple cerebral cavernous malformations associated with extracranial mesenchymal anomalies. Neurosurg Rev 2007; 31(1): 11-8.
[http://dx.doi.org/10.1007/s10143-007-0111-7] [PMID: 17957396]
[13]
Kimura S. A case of mediastinal hemangioma resected using video-assisted thraciscopic technique. JACS 2002; 16(4): 589-91.
[http://dx.doi.org/10.2995/jacsurg.16.4_589]

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy