Benign cancer of blood vessels


The most common causes of anterior mediastinal mass include the following: thymoma; teratoma; thyroid disease; and lymphoma.

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Masses of the middle mediastinum are typically congenital cysts, including foregut and pericardial cysts, while those that arise in the posterior mediastinum are often neurogenic tumors1. Gold standard for mediastial tumor diagnosis is computerized tomography CT with or without intravenous i. We present you a case of a young caucasian man, recently diagnosticated with myastenia gravis, that benign cancer of blood vessels a CT scan and discovered a mediastinal tumor, probably a thymoma.

Surprisingly in operation, the tumor was invasive, with a high tendency of bleeding, and probably malignant. A paliative operation was carried out, a prosthetic bypass from left venous brahiocefalic trunk to superior vena cava SVC.

benign cancer of blood vessels

The patient had an uneventful recovery period and was discharged after 7 days. The pathology finding was atypical lipomatous tumor, a liposarcoma. Keywords: mediastinal tumor, liposarcoma, atypical lipomatous tumor.

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Abstract: Mediastinul reprezintă o zonă complexă ce cuprinde mai multe organe interconectate anatomic şi funcţional. Cele mai frecvente tipuri de tumori mediastinale sunt următoarele: timomul, teratomul, guşa tiroidiană multinodulară, limfomul.

  1. COMBINED ENDOVASCULAR AND SURGICAL THERAPY OF UTERINE FIBROMA
  2. The human body is composed of trillions of cells, which constantly grow, divide and die.
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Tumorile din mediastinul mediu sunt, de obicei, chisturi congenitale, dezvoltate din canalul alimentar anterior sistemul digestiv superior şi din ţesut pericardic, în timp ce tumorile din mediastinul posterior sunt frecvent neurogenice. Vă prezentăm cazul unui pacient tânăr, benign cancer of blood vessels, diagnosticat recent cu miastenia gravis, la care s-a evidenţiat o formaţiune la nivelul mediastinului anterior în urma examenului CT.

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Principala suspiciune a fost de timom. Surprinzător, intraoperator, tumora era invazivă, cu tendinţă la sângerare, probabil malignă. S-a efectuat o intervenţie paliativă, un by-pass de la nivelul trunchiului venos brahiocefalic stâng la vena cavă superioară VCS cu o proteză vasculară.

Pacientul a evoluat favorabil postoperator şi a fost externat la 7 zile de la interventie. Diagnosticul anatomo-patologic a fost de tumoră lipomatoasă atipică, liposarcom. Tumorile mediastinale atipice au un prognostic rezervat, dar această tumoră localizată în mediastin este foarte rară.

COMBINED ENDOVASCULAR AND SURGICAL THERAPY OF UTERINE FIBROMA

Aşa că, din păcate, nu există date suficiente despre această patologie, şi nu se poate estima supravieţuirea acestui pacient. This area is limited anterior — by the sternum, posterior — the spinal column, laterally — the mediastinal pleura, inferiorlly — the diafragm, superior by a plan that crosses inferior to the clavicules.

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Clinically we devided mediastinum in 4 compartments: by the plan that crosses between manubrium and sternal body in superior mediastinum which contains proximal segment of tracheea, esofagus, the thymic gland, aortic arch, left and right brachiocefalic veins, nervesand inferior mediastinum which is divided in 3: anterior distal part of thymic gland, fat tissue, lymph nodesmedium intrapericardial heart vessels, pericardium, the heart, tracheal byfurcation, pulmonary arteries and veins, lymph nodesand posterior esofagus, benign cancer of blood vessels descending aorta, thoracic duct, sympathetic and parasympathetic nerves, lymph nodes.

Mediastinal tumors classification The most common causes of anterior mediastinal mass include the following: thymoma; teratoma; thyroid disease; benign cancer of blood vessels lymphoma. Masses of the middle mediastinum are typically congenital cysts, including foregut and pericardial cysts, while those that arise in the posterior mediastinum are often neurogenic tumors1,2.

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Symptoms Patients with mediastinal tumors can have specific clinical findings, depending on organ compresion or invasion, but frequently is not specific. Diagnosis A standard chest radiography can show enlargement of mediastinal opacity1,3.

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This enlargement can have different caracteristics depending on the tumor, a profile chest radiography is mandatory so we can see in which mediastinal compartement is the tumor. Lymph nodes can easily be identified and analized. CT scan is also very useful for guiding future invasive investigations video assisted thoracoscopy-VATS, thoracic puncture, byopsy.

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I scintigraphy is indicated for intrathoracic thyroid tumor2,4,5. Byopsy invasive tests are very usefull, but have limited indicationd due to their important risks. Some of them are: mediastinoscopy, transthoracic byopsy aspiration, ultrasound or CT guided fine needle byopsy, VATS 6.

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Most of mediastinal tumors have a slow growth rate. Rarely patients have also myasthenia gravis, low Gama globulins, medullary aplasia, especially for red line, and some other immune problems2,4,6. CT scan revealed non homogeneous nodular tumor at the anterosuperior mediastinum with compression effect on adjacent vascular structures, without invasiveness Figure 3.

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Also two small nodular lesions in the left upper lung lobe were found.