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Ann Thorac Surg 1996;61:1003-1005
© 1996 The Society of Thoracic Surgeons


Case Report

Extramedullary Hematopoiesis Simulating Posterior Mediastinal Tumors

Chun K. Loh, MD, PhD, Carlos Alcorta, MD, A. James McElhinney, MD

Department of Cardiothoracic Surgery, Palisades General Medical Center, North Bergen, New Jersey

Accepted for publication September 8, 1995.

We report the case of a patient with intrathoracic extramedullary hematopoiesis presenting as a posterior mediastinal tumor in response to chronic hemolytic anemia. Noninvasive studies including chest roentgenograms, computed tomographic scans, magnetic resonance images, and nuclear scans can establish the diagnosis in most cases. In equivocal cases, transthoracic needle biopsy and open biopsy should be considered. Surgical resection is recommended only for patients with symptoms of compression.




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