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Ann Thorac Surg 2009;88:293-295. doi:10.1016/j.athoracsur.2008.11.070
© 2009 The Society of Thoracic Surgeons
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Case Reports

Sclerosing Mediastinitis Mimicking Anterior Mediastinal Tumor

Toshio Miyata, MD, Makoto Takahama, MD, PhD*, Ryoji Yamamoto, MD, PhD, Ryu Nakajima, MD, PhD, Hirohito Tada, MD, PhD

Department of General Thoracic Surgery, Osaka City General Hospital, Osaka, Japan

Accepted for publication November 24, 2008.

* Address correspondence to Dr Takahama, Department of General Thoracic Surgery, Osaka City General Hospital, 2-13-22 Miyakojima hondori, Miyakojima-ku, Osaka, 534-0021, Japan (Email: mktkhm{at}yahoo.co.jp).

A 54-year-old asymptomatic man presented with an anterior mediastinal mass discovered on chest roentgenogram. Chest computed tomography revealed a noncalcified round mass in the mediastinum. A white solid mass, 5-cm in diameter, had arisen from the pericardial adipose tissue with multiple small nodular lesions mimicking mediastinal tumor with pleural dissemination. Postoperative pathologic examination confirmed a diagnosis of sclerosing mediastinitis. Details of the clinical and radiographic feature are presented.






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