Primary pleural epithelioid hemangioendothelioma mimicking as a posterior mediastinal tumor. Issue 2 (18th May 2015)

• Record Type: Journal Article
• Authors: Wethasinghe, James; Sood, Jaideep; Walmsley, Russell; Milne, David; Jafer, Ali; Gordon‐Glassford, Noel
• Is Part Of: Respirology case reports. Volume 3:Issue 2(2015:Jun.)
• Page Start: 75
• Page End: 77
• Publication Date: 2015-05-18
• Subjects: Respiratory organs -- Diseases -- Periodicals; 616.2005
• DOI: 10.1002/rcr2.106
• Languages: English
• ISSNs: 2051-3380

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <p>A 41‐year‐old man with no previous asbestos exposure presented with 6 months of dull right lower chest pain and weight loss. The initial computed tomography (CT) scan was reported as showing a soft tissue thickening in the posterior mediastinum with non‐specific nodules in the horizontal and oblique fissures. An endoscopic ultrasound‐guided fine needle aspiration from the 12 × 25 mm heterogeneous posterior mediastinal mass was suspicious for a ganglioneuroma. The procedure was complicated by a large hemothorax requiring drainage. A subsequent positron emission tomographic CT revealed a moderately fluorodeoxyglucose avid area of pleural thickening extending from the sixth to ninth thoracic vertebral body in the paraspinal region along with nodules along the right horizontal and oblique fissures. A thoracoscopic biopsy of the pleural lesion confirmed a pleural epithelioid hemangioendothelioma. There was a 5‐mm reduction in tumor thickness and improvement in his pain following 54 Gy of radiotherapy.</p> </abstract>