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Angiofibrolipoma of posterior mediastinum with transforaminal extension

Monia Attia, Imen Megdiche, Henda Neji, Ameur Belhadj, Ines Baccouche, Soussen Hantous Zannad, Khaoula Ben Miled M’rad
  • Monia Attia
    Department of Radiology, Abderrahmen Mami Hospital, Tunisia
  • Henda Neji
    Department of Radiology, Abderrahmen Mami Hospital, Tunisia
  • Ameur Belhadj
    Department of Radiology, Abderrahmen Mami Hospital, Tunisia
  • Ines Baccouche
    Department of Radiology, Abderrahmen Mami Hospital, Tunisia
  • Soussen Hantous Zannad
    Department of Radiology, Abderrahmen Mami Hospital, Tunisia
  • Khaoula Ben Miled M’rad
    Department of Radiology, Abderrahmen Mami Hospital, Tunisia

Abstract

Angiofibrolipoma is a histological variant of lipoma, which commonly occurs in subcutaneous tissues. In the present report we illustrate the case of an angiofibrolipoma of the posterior upper mediastinum in a 75-year-old man presented with progressive chest pain. Xray chest showed a homogeneous opacity vertically oriented along the right lateral aspect of thoracic vertebrae with an obtuse angle to the mediastinum. The upper extremity of the mass extended above the superior clavicle, suggestive of a posterior mediastinal lesion. Thoracic magnetic resonance imaging revealed a posterior mediastinal mass, in keeping with a nonaggressive lesion, with particular endocanalar extension and heterogeneous signal and enhancement patterns that was highly suggestive of a mixed mesenchymal tumor. The tumor was incompletely removed by right postero- lateral thoracotomy with final diagnosis of angiofibrolipoma. To the author’s knowledge, such a case of angiofibrolipoma located in the posterior mediastinum has not been previously reported in the literature.

Keywords

Angiofibrolipoma; Posterior mediastinum; MRI; Mesenchymal tumors

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Submitted: 2016-07-30 17:01:23
Published: 2017-03-29 09:07:01
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Copyright (c) 2017 Monia Attia, Imen Megdiche, Henda Neji, Ameur Belhadj, Ines Baccouche, Soussen Hantous Zannad, Khaoula Ben Miled M’rad

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