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Aneurysm of the Internal Thoracic Vein An Extremely Rare Cause of a Mediastinal Mass

Aneurysm of the Internal Thoracic Vein An Extremely Rare Cause of a Mediastinal Mass IMAGE OF THE MONTH Aneurysm of the Internal Thoracic Vein An Extremely Rare Cause of a Mediastinal Mass Francesco Petrella, MD,* Stefania Rizzo, MD,† Lorenzo Monfardini, MD,† Piergiorgio Solli, MD, PhD,* Alessandro Borri, MD,* Domenico Galetta, MD, PhD,* Roberto Gasparri, MD, PhD,* Giulia Veronesi, MD,* and Lorenzo Spaggiari, MD, PhD*‡ 45-year-old woman with a history of surgically treated Amelanoma was referred to our institution for a 4-cm undiagnosed mass in the upper anterior mediastinum dis- closed by chest computed tomography (CT) during oncolog- ical follow-up (Figure 1). Thymoma was suspected and preoperative evaluation was completed with positron emission tomography disclosing moderate fluorodeoxyglucose uptake. In view of the patient’s recent oncological history, CT-guided percutaneous biopsy was requested before plan- ning surgical resection by median sternotomy. The contrast-enhanced CT scan performed with an optimal timing of contrast enhancement showed a round well-delineated mass within the right anterior mediasti- num, with a venous contrast enhancement identical to the superior vena cava enhancement and a tiny vascular con- nection to the internal mammary vein, thus demonstrating FIGURE 1. Axial computed tomography image of the up- that the mass was an aneurysm of the right internal per thorax showing a streak artifact within the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Thoracic Oncology Wolters Kluwer Health

Aneurysm of the Internal Thoracic Vein An Extremely Rare Cause of a Mediastinal Mass

Spaggiari, Lorenzo
Journal of Thoracic Oncology , Volume 7 (3) – Mar 1, 2012
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Copyright
Copyright © 2012 by the International Association for the Study of Lung Cancer
ISSN
1556-0864
DOI
10.1097/JTO.0b013e3182435ad0
pmid
22334011
Publisher site
See Article on Publisher Site

Abstract

IMAGE OF THE MONTH Aneurysm of the Internal Thoracic Vein An Extremely Rare Cause of a Mediastinal Mass Francesco Petrella, MD,* Stefania Rizzo, MD,† Lorenzo Monfardini, MD,† Piergiorgio Solli, MD, PhD,* Alessandro Borri, MD,* Domenico Galetta, MD, PhD,* Roberto Gasparri, MD, PhD,* Giulia Veronesi, MD,* and Lorenzo Spaggiari, MD, PhD*‡ 45-year-old woman with a history of surgically treated Amelanoma was referred to our institution for a 4-cm undiagnosed mass in the upper anterior mediastinum dis- closed by chest computed tomography (CT) during oncolog- ical follow-up (Figure 1). Thymoma was suspected and preoperative evaluation was completed with positron emission tomography disclosing moderate fluorodeoxyglucose uptake. In view of the patient’s recent oncological history, CT-guided percutaneous biopsy was requested before plan- ning surgical resection by median sternotomy. The contrast-enhanced CT scan performed with an optimal timing of contrast enhancement showed a round well-delineated mass within the right anterior mediasti- num, with a venous contrast enhancement identical to the superior vena cava enhancement and a tiny vascular con- nection to the internal mammary vein, thus demonstrating FIGURE 1. Axial computed tomography image of the up- that the mass was an aneurysm of the right internal per thorax showing a streak artifact within the

Journal

Journal of Thoracic Oncology – Wolters Kluwer Health

Published: Mar 1, 2012

References

  • Internal thoracic vein aneurysm presenting as an anterior mediastinal mass
    Almassi Hossein
  • Superior vena caval aneurysm
    Varma
  • Hand exercise during contrast medium delivery at thoracic helical CT: a simple method to minimize perivenous artifact
    Nakayama
  • Intraparenchymal pulmonary artery aneurysm from ipsilobar non-small cell lung cancer
    Petrella