Thorac Cardiovasc Surg 2011; 59(6): 383-384
DOI: 10.1055/s-0030-1250652
Case Reports
Thoracic
© Georg Thieme Verlag KG Stuttgart · New York

Hemilaminectomy for a Dumbbell-Shaped Vertebral Hemangioma

H. Suzuki1 , Y. Sekine1 , N. Yamamoto2 , K. Hiroshima3
  • 1Department of Thoracic Surgery, Tokyo Women's Medical University Yachiyo Medical Center, Yachiyo, Japan
  • 2Department of Orthopedic Surgery, Tokyo Women's Medical University Yachiyo Medical Center, Yachiyo, Japan
  • 3Department of Pathology, Tokyo Women's Medical University Yachiyo Medical Center, Yachiyo, Japan
Further Information

Publication History

received July 27, 2010

Publication Date:
22 March 2011 (online)

Abstract

We report the case of a dumbbell-shaped vertebral hemangioma mimicking a neurogenic tumor. A 73-year-old male was found on chest X‐ray to have an abnormal shadow at the apex of the right upper lung field. Chest computed tomography revealed a 4.0-cm mass in the posterior right paravertebral region, adjacent to the T1 and T2 vertebral bodies. Given the location and shape of the tumor, it was suspected to be a neurogenic tumor. Magnetic resonance imaging revealed that the tumor extended into the spinal canal via the second intervertebral foramen. The tumor was resected successfully via hemilaminectomy with costotranversectomy. On pathological examination, the tumor was found to be a benign hemangioma. The patient is free of recurrence at 10 months post-resection. Vertebral hemangioma should be considered in the differential diagnosis of dumbbell-shaped tumors of the upper or posterior mediastinum.

References

Dr. Yasuo Sekine, MD, PhD

Department of Thoracic Surgery
Tokyo Women's Medical University Yachiyo Medical Center

Yachiyo 276-8524

Japan

Phone: +81 4 74 50 60 00

Fax: +81 4 74 58 70 47

Email: ysekine@tymc.twmu.ac.jp