A case of leiomyoma in the anterior mediastinum

  • Yoshikawa Satoshi
    Department of Surgery, National Hospital Organization Kinki-Chuo Chest Medical Center
  • Matsumura Akihide
    Department of Surgery, National Hospital Organization Kinki-Chuo Chest Medical Center
  • Okumura Meinoshin
    Department of Surgery, National Hospital Organization Kinki-Chuo Chest Medical Center
  • Tanaka Hisaichi
    Department of Surgery, National Hospital Organization Kinki-Chuo Chest Medical Center
  • Tamura Mitsunobu
    Department of Surgery, National Hospital Organization Kinki-Chuo Chest Medical Center
  • Sasaki Hidefumi
    Department of Surgery, National Hospital Organization Kinki-Chuo Chest Medical Center
  • Goto Masashi
    Department of Surgery, National Hospital Organization Kinki-Chuo Chest Medical Center
  • Iuchi Keiji
    Department of Surgery, National Hospital Organization Kinki-Chuo Chest Medical Center

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Other Title
  • 前縦隔に発生した平滑筋腫の1切除例

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Abstract

Leiomyoma in the anterior mediastinum is very rare. In this report, we describe a case of leiomyoma in the anterior mediastinum in a 53-year-old man with an abnormal shadow on chest radiogragh who was referred to our hospital for further investigation and treatment. Chest CT scan and MRI showed a solid mass in the anterior mediastinum. We suspected the tumor to be a thymoma and decided to remove it operatively. We removed the tumor along with the thymus. The resected mass was 4.0 ×3.0×2.5cm in size and 20g in weight, covered with a thin capsule. The operative findings and histology allowed diagnosis of leiomyoma from unknown origin. The patient is in good health with no recurrence four months postoperatively. This is the second case to our knowledge of leiomyoma in the anterior mediastinum in Japan.

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