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Mediastinal hemangioma: how to avoid surgical resection?

https://doi.org/10.22328/2079-5343-2025-16-2-110-115

Abstract

Mediastinal hemangioma is a rare benign tumor which can sometimes mimic the clinical presentation and radiological findings of malignant tumors. Here we present a rare case of cavernous hemangioma in the mediastinum in a patient with colorectal cancer, which required histologic verification before onset of treatment. Type of contrast enhancement, presence of drainage veins and calcification are typical characteristics of hemangioma.

About the Authors

A. D. Obornev
Saint Petersburg State Research Institute of Phthisiopulmonology
Russian Federation

Alexandr D. Obornev — Cand. of Sci. (Med.), thoracic surgeon

191036, Saint Petersburg, Ligovskiy av., 2–4



O. S. Maslak
Saint Petersburg State Research Institute of Phthisiopulmonology,
Russian Federation

Olga S. Maslak  — Cand. of Sci. (Med.), radiologist

191036, Saint Petersburg, Ligovskiy av., 2–4



I. A. Garapach
Saint Petersburg State Research Institute of Phthisiopulmonology; Pavlov First Saint Petersburg State Medical University
Russian Federation

Irina A. Garapach — Cand. of Sci. (Med.), Chief of the Radiology Department

191036, Saint Petersburg, Ligovskiy av., 2–4



A. О. Nefedov
Saint Petersburg State Research Institute of Phthisiopulmonology
Russian Federation

Andrey O. Nefedov — Cand. of Sci. (Med.),, Chief of the Thoracic oncology department

191036, Saint Petersburg, Ligovskiy av., 2–4



References

1. Mier Y Teran S., Valezka F.B. et al. Posterior mediastinal hemangioma: case report and literature review // Chest. 2018. Vol. 154. Р. 38–39.

2. Peng L., Deng H.-Y. et al. A missed diagnosis of hemangioma mimicking neurogenic tumor in the posterior mediastinum // Images in Cardiothoracic surgery. 2020. Vol. 109. E229. doi: 10.1016/j.athoracsur.2019.09.050.

3. Deepak J., Babu M.N., Gowrishankar B.C. et al. Mediastinal hemangioma: Masquerading as pleural effusion // J. Indian Assoc. Pediatr. Surg. 2013. Vol. 18, No. 4. Р. 162–164. doi: 10.4103/0971-9261.121125

4. Mardani P., Kamran H., Geramizadeh B. et al. Cavernous mediastinal hemangioma presenting with persistent cough: a rare case report and review of literature // J. Cardiothorac. Surg. 2023. Vol. 18, No. 3. https://doi.org/10.1186/s13019-023-02130-7.

5. Cai X., Liu C., Cui Y. A case of middle mediastinal cavernous hemangioma // Thorac. Cancer. 2020. Vol. 11, No. 3. Р. 789–792. doi: 10.1111/1759-7714.13301.

6. Shikada Y., Katsura M., Kouso H. et al. A case of middle mediastinal cavernous hemangioma // Gen. Thorac. Cardiovasc. Surg. 2015. Vol. 63, No. 2. Р. 112–115. https://doi.org/10.1007/s11748-013-0286-5.

7. Ouladdameshghi D., Eshraghi M. et al. A case report of mediastinal cavernous hemangioma // Clin. Case Rep. 2021. Vol. 9. e04698. doi:10.1002/ccr3.4698.

8. Hatten D.F., Werthammer S. Hemangioma of the liver causing death in a newborn // W. V. Med. J. 1963. Vol. 59. Р. 8–10. PMID: 13960957.

9. Igari Y., Takahashi Sh., Usui A. et al. Sudden death in a child caused by a giant cavernous hemangioma of the anterior mediastinum // Journal of Forensic and Legal Medicine. 2017. Vol. 52. Р. 93–97. doi: 10.1016/j.jflm.2017.08.008.

10. Nguyen B., Nguyen D. Anastomosing hemangioma of mediastinum and pleura mimicking chest malignancy // Journal of Thoracic Oncology. 2023. Vol. 18. S726.

11. Yobita S., Iizuka S., Otsuki Y., Nakamura T. Mediastinal hemangioma mimicking an invasive tumor growth: a case report // Int. J. Surg. Case Rep. 2021. Vol. 80. Р. 105674. doi: 10.1016/j.ijscr.2021.105674.

12. Cheung Y.C., Ng S.H., Wan Y.L. et al. Dynamic CT features of mediastinal hemangioma: more information for evaluation // J. Clinical Imaging. 2000. Vol. 24, No. 5. Р. 276–278. doi: 10.1016/s0899-7071(00)00223-0.

13. Li S.M., Hsu H.H., Lee S.C. et al. Mediastinal hemangioma presenting with a characteristic feature on dynamic computed tomography images // J. Thorac. Dis. 2017. Vol. 9, No. 5. Р. 412–415. doi: 10.21037/jtd.2017.03.165.

14. Bai Y., Zhao G., Tan Y. CT and MRI manifestations of mediastinal cavernous hemangioma and a review of the literature // World J. Surg. Oncol. 2019. Vol. 17, No 1. Р. 205. doi: 10.1186/s12957-019-1742-1.

15. Carbone A., Borok M., Damania B. et al. Castleman disease // Nat. Rev. Dis. Primers. 2021. Vol. 7. Р. 84. doi: 10.1038/s41572-021-00317-7.

16. Hoffmann C., Oksenhendler E., Littler S. et al. The clinical picture of Castleman disease: a systematic review and meta-analysis // Blood. Adv. 2024. Vol. 8, No. 18. Р. 4924–4935. doi: 10.1182/bloodadvances.2024013548.

17. Shen C., Liang Y., Xu H. et al. Cavernous hemangioma of thymus misdiagnosed as thymoma: a case report // World J. Surg. Onc. 2014. Vol. 12. Р. 323. https://doi.org/10.1186/1477-7819-12-323.

18. Debaibi M., Sghair A., Sahnoun M. et al. Primary retroperitoneal cavernous hemangioma: An exceptional disease in adulthood // Clin. Case Rep. 2022. Vol. 10, No. 5, e05850. doi: 10.1002/ccr3.5850.

19. Ose N., Kobori Y., Takeuchi Y. et al. Cavernous hemangioma in the thymus: a case report // Surg. Case Rep. 2016. Vol. 2, No. 10. https://doi.org/10.1186/s40792-016-0137-6.

20. Xiaoxiong X., Qin X., Yang B. et al. Surgical management of mediastinal hemangioma: a report of 18 cases // Chin. J. Thorac. Cardiovasc. Surg. 2018. Vol. 34, No. 9. Р. 518–521. doi: 10.3760/cma.j.issn.1001-4497.2018.09.002.

21. Lewis D., Vaidya R. Kasabach-Merritt Syndrome // StatPearls. Treasure Island: StatPearls Publishing. 2025. https://www.ncbi.nlm.nih.gov/books/NBK519053.


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For citations:


Obornev A.D., Maslak O.S., Garapach I.A., Nefedov A.О. Mediastinal hemangioma: how to avoid surgical resection? Diagnostic radiology and radiotherapy. 2025;16(2):110-115. (In Russ.) https://doi.org/10.22328/2079-5343-2025-16-2-110-115

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