scholarly journals An Extremely Rare Case of Primary Anterior Mediastinal Tumor

2021 ◽  
Author(s):  
Cheng Shen ◽  
Lin Ma
Keyword(s):  
Rare Case ◽  
Mediastinal Tumor ◽  
Superior Vena ◽  
Wedge Resection ◽  
Vena Cava ◽  
Anterior Mediastinum ◽  
Atypical Carcinoid ◽  
Case Presentation ◽  
Artery Resection ◽  
Left Vagus

Abstract Background: There were very few reports of atypical carcinoid in anterior mediastinum. Atypical carcinoids originating in the mediastinum belong to a neuroendocrine tumor (NET), which is also a very rare clinically aggressive mediastinal tumor. Case presentation: We herein reported a rare case of NET of mediastinal origin and a review of several cases concerning the clinical and pathological features of this disease, which is often misdiagnosed as atypical carcinoid tumor in mediastinum. The tumor was removed by mid-sternal thoracotomy with superior vena cava formation, left common carotid artery resection and artificial blood vessel replacement, left upper lobe wedge resection, left phrenic nerve resection, left vagus nerve resection and partial pericardectomy.Conclusions: To the best of our knowledge, this is the sixth atypical carcinoid occurring in mediastinum with proof via histology and IHC. Our findings suggest the difficulty of making a diagnosis before surgery and more cases will need to be reported in order to facilitate the preoperative diagnosis of such a rare tumor.

Mediastinal Epithelioid Hemangioendothelioma Invading Superior Vena Cava: A Case Report and Review of Literature

2019 ◽  
Vol 15 (3) ◽  
pp. 349-352
Author(s):  
Su Hong Kim ◽  
Young Seon Kim ◽  
Min Hye Jang ◽  
Hee Jung Kwon
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena ◽  
Vena Cava ◽  
Anterior Mediastinum ◽  
Epithelioid Hemangioendothelioma ◽  
Vascular Neoplasm ◽  
Case Presentation ◽  
Contrast Enhanced ◽  
The Right ◽  
Brachiocephalic Veins

Introduction: Epithelioid Hemangioendothelioma (EHE) is a rare vascular neoplasm. Common locations of EHE are the bone, soft tissue, liver, and lung, but the mediastinal location is extremely rare. Few cases of mediastinal EHE, invading the Superior Vena Cava (SVC) have been reported. </P><P> Case Presentation: We report a case of a 21-year-old man with EHE invading the SVC, which was incidentally detected on performing chest radiography. A contrast-enhanced chest Computed Tomography (CT) scan demonstrated a well-defined, oval mass located on the right side of the anterior mediastinum. The mass showed homogeneous enhancement with punctate calcifications, and it invaded the SVC at the confluence area of the right and left brachiocephalic veins. Conclusion: Mediastinal EHE invading the SVC may present as a homogeneously enhancing mass with punctate calcifications. It should be added to the differential diagnosis of tumors of the mediastinum. Accurate preoperative diagnosis of EHE is critical for surgical planning; therefore, knowledge of the radiologic features of EHE is important.

scholarly journals ACTH-dependent Hypercortisolemia in a Patient with a Pituitary Microadenoma and an Atypical Carcinoid Tumour of the Thymus

Medicina ◽  
2019 ◽  
Vol 55 (12) ◽  
pp. 759
Author(s):  
Angelika Baranowska-Jurkun ◽  
Magdalena Szychlińska ◽  
Wojciech Matuszewski ◽  
Robert Modzelewski ◽  
Elżbieta Bandurska-Stankiewicz
Keyword(s):  
Clinical Symptoms ◽  
Carcinoid Tumour ◽  
Superior Vena ◽  
Hormone Secretion ◽  
Vena Cava ◽  
Diagnostic Procedures ◽  
Anterior Mediastinum ◽  
Atypical Carcinoid ◽  
Ectopic Acth ◽  
Pituitary Microadenoma

Cushing’s syndrome (CS) is a set of clinical symptoms which occur as a result of hypercortisolemia. Endogenous ACTH-dependent CS related to an ectopic ACTH-secreting tumour constitutes 12%–17% of CS cases and is one of the most common causes of paraneoplastic syndromes. This study presents a case of a 31 year-old man with diabetes, hypertension, rosacea, purple stretch marks and hypokalemia. Findings of diagnostic procedures include high concentrations of cortisol and ACTH, pituitary microadenoma and a tumour in the anterior mediastinum. Dynamic hormone tests determined the source of excess hormone secretion and ectopic ACTH-dependent CS was diagnosed. Due to increasing symptoms of superior vena cava syndrome, an emergency resection of almost the whole tumour was performed, with only a small part of the upper pole left because of the proximity of large vessels and a risk of damaging them. On the basis of histopathological tests, an atypical carcinoid tumour of the thymus was identified. Immediately after the surgical procedure, there was a significant reduction of clinical and laboratory traits of hypercortisolemia, yet, during the 46 weeks of postoperative observation, despite chemotherapy, the progression of residual masses of the tumour occurred with metastases and increased hormone indices. The presented case shows and discusses the differentiation of ACTH-dependent hypercortisolemia and its causes, difficulties in surgical therapy and chemotherapy, as well as prognosis for atypical carcinoid of the thymus, which is a rare disease.

A Case of Severe Tracheobronchial Compression and Superior Vena Cava Syndrome by Huge Anterior Mediastinal Tumor

2012 ◽  
Vol 32 (4) ◽  
pp. 555-559
Author(s):  
Takako SASAI ◽  
Kyoichiro MAESHIMA ◽  
Satoshi SUZUKI ◽  
Tetsuya DANURA ◽  
Keiji GOTO ◽  
...  
Keyword(s):  
Superior Vena Cava ◽  
Mediastinal Tumor ◽  
Superior Vena Cava Syndrome ◽  
Superior Vena ◽  
Vena Cava ◽  
Anterior Mediastinal Tumor ◽  
Vena Cava Syndrome

scholarly journals Specific airway management for SVC replacement during giant anterior mediastinal tumor resection

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Izumi Kawagoe ◽  
Daizoh Satoh ◽  
Chieko Mitaka ◽  
Masataka Fukuda ◽  
Tsukasa Kochiyama ◽  
...  
Keyword(s):  
Mediastinal Tumor ◽  
Main Bronchus ◽  
Superior Vena ◽  
Tumor Resection ◽  
Left Lung ◽  
Vena Cava ◽  
Double Lumen Tube ◽  
Lower Airway ◽  
Tumor Spread ◽  
Anterior Mediastinal Tumor

Abstract Background Giant anterior mediastinal tumor (GAMT) resection is a challenging procedure, for which anesthesiologist might take to need special precautions. Case presentation A 48-year-old male patient had been scheduled to undergo GAMT resection and superior vena cava (SVC) replacement. The tumor spread surrounding SVC and left main bronchus (LMB), resulting in small volume of his left lung. A soft left-sided double lumen tube (DLT) was selected to keep the patency of LMB during left one lung ventilation (OLV) against the tumor weight. Semi-awake intubation with spontaneous breathing was selected for DLT insertion to avoid lower airway occlusion. During left OLV after right open thoracotomy, his SPO2 decreased below to 90%. We performed selective right upper lobe bronchial blockade using the combination of DLT and bronchial blocker. The surgery was successfully completed with this strategy. Conclusions Although such cases are rare, they are informative for anesthesiologists, providing optional strategies.

scholarly journals Duplication of Inferior Vena Cava, Possible Cause of Internal Hernia? Literature Review and Rare Case Presentation

Chirurgia ◽  
2020 ◽  
Vol 115 (5) ◽  
pp. 665
Author(s):  
Cedric Kwizera ◽  
Daniel G. Popa ◽  
Marian Botoncea ◽  
Adrian Tudor ◽  
Gyorgy D. Szava ◽  
...  
Keyword(s):  
Literature Review ◽  
Inferior Vena Cava ◽  
Internal Hernia ◽  
Rare Case ◽  
Inferior Vena ◽  
Vena Cava ◽  
Case Presentation ◽  
Possible Cause

EP05 A RARE CASE OF SACCULAR SUPERIOR VENA CAVA ANEURYSM

2018 ◽  
Vol 19 ◽  
pp. e39
Author(s):  
G. Di Benedetto ◽  
G. Coronella ◽  
S. Giordano ◽  
R. Provenzano ◽  
P. Oliviero ◽  
...  
Keyword(s):  
Superior Vena Cava ◽  
Rare Case ◽  
Superior Vena ◽  
Vena Cava

scholarly journals A Rare Case of Superior Vena Cava Saccular Aneurysm

CASE ◽  
2019 ◽  
Vol 3 (6) ◽  
pp. 246-249 ◽  
Author(s):  
Andrew M. Jacobson ◽  
Raju G. Ailiani ◽  
Venki Paramesh
Keyword(s):  
Superior Vena Cava ◽  
Rare Case ◽  
Superior Vena ◽  
Vena Cava ◽  
Saccular Aneurysm

Repositioning of malpositioned peripherally inserted central catheter lines with the use of intracavitary electrocardiogram: A pediatric case series

2019 ◽  
Vol 21 (2) ◽  
pp. 259-264 ◽  
Author(s):  
Mark D Weber ◽  
Adam S Himebauch ◽  
Thomas Conlon
Keyword(s):  
Superior Vena ◽  
Vena Cava ◽  
Case Series ◽  
Right Atrial ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Case Presentation ◽  
Central Lines ◽  
Catheter Tip ◽  
Standard Radiographs

Introduction: Peripherally inserted central catheter tip migration is an infrequent event that occurs in neonatal, pediatric, and adult patients. We discuss a novel technique of utilizing intracavitary electrocardiogram to help confirm proper peripherally inserted central catheter tip repositioning, thereby reducing the need for serial radiographs. Case presentation: A case series of four patients will be discussed. The first three patients had peripherally inserted central catheter tips that were initially appropriately positioned but had later peripherally inserted central catheter tip migration. The use of intracavitary electrocardiogram was able to confirm the appropriate repositioning of the peripherally inserted central catheters without the need for serial radiographs. The fourth patient had several central lines in place, which led to difficulty in identifying the peripherally inserted central catheter tip location. The use of intracavitary electrocardiogram confirmed proper positioning of his peripherally inserted central catheter tip when standard radiographs could not provide clarity. Discussion: Several techniques have been published on methods to reposition a migrated peripherally inserted central catheter tip back to the superior vena cava/right atrial junction. These repositioning techniques often require fluoroscopic guidance or a confirmatory radiograph to assess the appropriate peripherally inserted central catheter tip location. At times, several radiographs may be required before the tip is successfully repositioned. This novel application of intracavitary electrocardiogram can help to minimize radiographs when peripherally inserted central catheter tip repositioning is required.

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