a huge lymphangioma mimicking pleural effusion with extension to both chest cavities: a case report and review of literature

نویسندگان

mohsen sokouti department of cardiothoracic surgery, tabriz university of medical sciences, tabriz, iran

nassir rostambeigi department of radiology, university of minnesota, usa

monireh halimi department of pathology, tabriz university of medical sciences, tabriz, iran

seyed ziaeddin rasihashemi department of cardiothoracic surgery, tabriz university of medical sciences, tabriz, iran

چکیده

mediastinal lymphangioma is primarily a benign lesion and the majority of the cases are found incidentally. these lesions account for approximately 1% of all mediastinal tumors. here we present a giant mediastinal cystic mass in a 35-year-old female who was presented with severe respiratory distress. on the plain chest radiography and ct scan, a massive left pleural effusion with large parasternal and mediastinal lymphadenopathy was seen. thoracentesis was performed and 400 cm³ of clear fluid was drained from the left hemithorax. however, a subsequent ct scan with contrast and the same technique 40 days later showed a large cystic mass in the mediastinum protruding to the right and left hemi thoraces. the giant cystic mass was resected via right and left anterior thoracotomies. histopathological examination revealed a diagnosis of lymphangioma. the patient has been alive and without tumor recurrence and has been followed for 2 years.

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عنوان ژورنال:
iranian journal of medical sciences

جلد ۴۰، شماره ۲، صفحات ۱۸۱-۰

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