Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Case Report Volume 7 Issue 9

Anterior Mediastinal Arteriovenous Malformation Mimicker for Thymoma

Narendran Balasubbiah1,2* and Padungkiat Tangpirootham1

1Bangkok Heart Hospital, Thailand
2Thoracic Unit, Department of Surgery, Kuala Lumpur Hospital, Malaysia

*Corresponding Author: Narendran Balasubbiah, Bangkok Heart Hospital, Thailand.

Received: June 29, 2023; Published: August 17, 2023

Abstract

Anterior mediastinal masses are asymptomatic until it reaches significant size and cause mass effect. Anterior mediastinal arteriovenous malformations (AVM) are rare. Here we present a case which was referred for surgical intervention for a thymoma, but it was mistaken identity and turned out to be an AVM posing intraoperative challenge. The challenge with VATS (video assisted thoracoscopic surgery) resection of AVM in the mediastinum is haemostasis control and removing the lesion in total. It is difficult to differentiate solid tumours from AVM doing routine pre-operative investigation [1].

 Keywords: Video Assisted Thoracoscopic Surgery (VATS); Computed Tomography (CT)

References

  1. Shen C., et al. “Cavernous hemangioma of thymus misdiagnosed as thymoma: a case report”. World Journal of Surgical Oncology 12 (2014): 323.
  2. Neyaz Z., et al. “Percutaneous computed tomography-guided aspiration and biopsy of intrathoracic lesions: results of 265 procedures”. Lung India 33 (2016): 620-625.
  3. Gentili F., et al. “Update in diagnostic imaging of the thymus and anterior mediastinal masses”. Gland Surgery 3 (2019): S188-207.
  4. Zheng C., et al. “Cavernous hemangioma of the thymus: a case report and review of the literature”. Medicine 97 (2018): e11698.
  5. Kern S., et al. “Differentiation of vascular birthmarks by MR imaging. An investigation of hemangiomas, venous and lymphatic malformations”. Acta Radiology 41 (2000): 453-457.
  6. Bashir U., et al. “Magnetic resonance (MR) imaging of vascular malformations”. Polish Journal of Radiology 82 (2017): 731-741.
  7. International Society for the Study of Vascular Anomalies. ISSVA Classification of Vascular Anomalies. (2018).
  8. Mulliken JB and Glowacki J. “Hemangiomas and vascular malformations in infants and children: a classification based on endothelial characteristics”. Plastic and Reconstructive Surgery 69 (1982): 412-422.
  9. Zuniga Castillo M., et al. “Genetics of vascular malformation and therapeutic implications”. Current Opinion in Pediatrics 31 (2019): 498-508.
  10. Greene AK and Goss JA. “Vascular anomalies: from a clinicohistologic to a genetic framework”. Plastic and Reconstructive Surgery 141 (2018): 709e-17e.

Citation

Citation: Narendran Balasubbiah and Padungkiat Tangpirootham. “Anterior Mediastinal Arteriovenous Malformation Mimicker for Thymoma”.Acta Scientific Medical Sciences 7.9 (2023): 130-132.

Copyright

Copyright: © 2023 Narendran Balasubbiah and Padungkiat Tangpirootham. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.403

Indexed In





Contact US