Progressive dyspnea in patient with large mediastinal mass

Liposarcoma occurs very rarely in the mediastinum. Patients often remain asymptomatic until it grows large enough to cause direct invasion or compression of adjacent organs. We report a case of a 77-year-old male presented with dyspnea of exertion and was found to have a large mediastinal mass which...

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Bibliographic Details
Published in:Journal of cardiothoracic surgery 2014-01, Vol.9 (1), p.6-6, Article 6
Main Authors: Fukuhara, Shinichi, Dimitrova, Kamellia R, Geller, Charles M, Hoffman, Darryl M, Ko, Wilson, Tranbaugh, Robert F
Format: Article
Language:English
Subjects:
Aged
Case Report
Diagnosis, Differential
Disease Progression
Dyspnea - diagnosis
Dyspnea - etiology
Dyspnea - surgery
Humans
Liposarcoma - complications
Liposarcoma - diagnosis
Liposarcoma - surgery
Magnetic Resonance Imaging
Male
Mediastinal Neoplasms - complications
Mediastinal Neoplasms - diagnosis
Mediastinal Neoplasms - surgery
Radiography, Thoracic
Severity of Illness Index
Sternotomy - methods
Tomography, X-Ray Computed
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Summary:Liposarcoma occurs very rarely in the mediastinum. Patients often remain asymptomatic until it grows large enough to cause direct invasion or compression of adjacent organs. We report a case of a 77-year-old male presented with dyspnea of exertion and was found to have a large mediastinal mass which was eventually diagnosed as primary mediastinal well-differentiated liposarcoma. The limited respiratory function at the initial presentation prompted phrenic nerve preserving incomplete resection rather than radical removal of the adjacent mediastinal structures. After surgical removal, the recurrence for well-differentiated mediastinal liposarcomas in the mediastinum is unknown; therefore, close follow-up is crucial.
ISSN:1749-8090
1749-8090
DOI:10.1186/1749-8090-9-6