Clinical Characteristics and Surgical Treatment of Thoracic Hemangioma_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

LIN Yidan , JIANG Guangliang.

Department of Thoracic Surgery， West China Hospital， Sichuan University， Chengdu 610041， P. R. China;

Corresponding author：

Keywords：

Hemangioma，thoracic; 　Diagnosis; 　Surgical treatment

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Abstract： Objective To investigate the clinicopathological characteristics, improve the accuracy of clinical diagnosis， and reduce postoperative complications of thoracic hemangioma. Methods Clinical records of 9 patients with thoracic hemangioma who underwent surgical resection in West China Hospital of Sichuan University from January 2006 to August 2012 were retrospectively analyzed. There were 2 males and 7 females with their average age of 47.9±19.3 （18-71）years. Six patients underwent thoracotomy， 1 patient underwent complete video-assisted thoracoscopic surgery （VATS）， 1 patient underwent video-assisted mini-thoracotomy， and 1 patient underwent staged operations which were performed by neurological surgeons and thoracic surgeons separately. Imaging characteristics, intraoperative gross tumor features, and pathological characteristics of resected hemangioma specimens were analyzed. Clinical outcomes of different surgical strategies for the treatment of hemangioma were compared. Results Nine patients with thoracic hemangioma were included in this study. Imaging studies showed the tumor as a round-shaped mass in 66.7% （6/9） of these patients and a lobulated mass in the remaining 33.3% （3/9） patients. Magnetic resonance imaging （MRI） assessment was helpful for preoperative diagnosis of hemangioma， with T2 weighted imaging tumor enhancement as the main MRI feature. Thoracic operation time was 106.3±60.1 （60-192） min， and intraoperative blood loss was 91.1±43.7 （30-150） ml. All the patients were followed up for 3-6 years except 1 patient who was followed up for 1 month. None of the patients had hemangioma-related death， recurrence or metastasis during follow-up. Conclusions Thoracic hemangiomas are usually benign entities and often locate in the mediastinum. Surgical strategies should be determined by the size and location of the tumor as well as the surgeon’s technique level. VATS has the advantages of being minimal invasive, causing less intraoperative blood loss and shorter length of hospital stay for the treatment of hemangioma. Resection of a dumbbell-type hemangioma may need cooperation between neurological and thoracic surgeons.

Citation： LIN Yidan,JIANG Guangliang.. Clinical Characteristics and Surgical Treatment of Thoracic Hemangioma. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2013, 20(1): 67-69. doi: Copy

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11.	Liu LX， Che GW， Pu Q， et al. A new concept of endoscopic lung cancer resection：Single-direction thoracoscopic lobectomy. Surg Oncol， 2010， 19 （2）：e71-e77.
12.	Flores RM， Alam N. Video-assisted thoracic surgery lobectomy （VATS）， open thoracotomy， and the robot for lung cancer. Ann Thorac Surg， 2008， 85 （2）：S710-S715.
13.	Cano I， Antón-Pacheco JL， García A， et al. Video-assisted thoracoscopic lobectomy in infants. Eur J Cardiothorac Surg， 2006， 29 （6）：997-1000.
14.	Yan TD， Black D， Bannon PG， et al. Systematic review and meta-analysis of randomized and nonrandomized trials on safety and efficacy of video-assisted thoracic surgery lobectomy for early-stage non-small-cell lung cancer. J Clin Oncol， 2009， 27 （15）：2553-2562.

1. 　Yoshino N， Okada D， Ujiie H， et al. Venous hemangioma of the posterior mediastinum. Ann Thorac Cardiovasc Surg， 2012， 18 （3）：247-250.
2. 　Bubnjar J， Pape? D. Rib hemangioma presenting as an asymptomatic mass. Am Surg， 2012， 78 （4）：E238-E239.
3. 　Odaka M， Nakada T， Asano H， et al. Thoracoscopic resection of a mediastinal venous hemangioma：Report of a case. Surg Today， 2011， 41 （10）：1455-1457.
4. 　Lovrenski A， Panjkovi? M， Eri Z， et al. Cavernous hemangioma of the lung. Med Pregl， 2011， 64 （5-6）：327-330.
5. 　Mizutani E， Morita R， Kitamura S. Arteriovenous hemangioma in the middle mediastinum：report of a case. Surg Today， 2011， 41 （6）：846-848.
6. 　Hashimoto N， Takenaka S， Akimoto Y， et al. Capillary hemangioma in a rib presenting as large pleural effusion. Ann Thorac Surg， 2011， 91 （4）：e59-e61.
7. 　Sakurai K， Hara M， Ozawa Y， et al. Thoracic hemangiomas：imaging via CT， Mr， and PET along with pathologic correlation. J Thorac Imaging， 2008， 23 （2）：114-120.
8. 　Cohen AJ， Sbaschnig RJ， Hochholzer L， et al. Mediastinal hemangiomas. Ann Thorac Surg， 1987， 43 （6）：656-659.
9. 　Kanaya H， Saito Y， Gama N， et al. Intramuscular hemangioma of masseter muscle with prominent formation of phleboliths：a case report. Auris Nasus Larynx， 2008， 35 （4）：587-591.
10. 　Hirai K， Takeuchi S， Bessho R， et al. Venous hemangioma of the anterior mediastinum. J Nippon Med Sch， 2010， 77 （2）：115-118.
11. 　Liu LX， Che GW， Pu Q， et al. A new concept of endoscopic lung cancer resection：Single-direction thoracoscopic lobectomy. Surg Oncol， 2010， 19 （2）：e71-e77.
12. 　Flores RM， Alam N. Video-assisted thoracic surgery lobectomy （VATS）， open thoracotomy， and the robot for lung cancer. Ann Thorac Surg， 2008， 85 （2）：S710-S715.
13. 　Cano I， Antón-Pacheco JL， García A， et al. Video-assisted thoracoscopic lobectomy in infants. Eur J Cardiothorac Surg， 2006， 29 （6）：997-1000.
14. 　Yan TD， Black D， Bannon PG， et al. Systematic review and meta-analysis of randomized and nonrandomized trials on safety and efficacy of video-assisted thoracic surgery lobectomy for early-stage non-small-cell lung cancer. J Clin Oncol， 2009， 27 （15）：2553-2562.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Clinical Characteristics and Surgical Treatment of Thoracic Hemangioma

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